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    Intracameral antibiotics a must to avoid infection post-cataract surgery


    Walnut Creek, CA—The creation of a sufficiently long-internal incision as well as stromal hydration and a moderate final IOP are effective steps to reduce fluid ingress—and lower risk of infection—into the eye following cataract surgery, according to Neal Shorstein, MD.

    More from this issue: AAO aims to raise Acanthamoeba keratitis awareness

    Opportunities for infections to develop during cataract surgery occur at two time points:

    ·      Intraoperatively, when organisms on eyelids and lashes can enter the eye or through contaminated instrumentation.

    ·      Postoperatively through an incompetent wound.

    To combat this, antiseptic agents are applied preoperatively with antibiotic drops and povidone-iodine, intraoperatively with antibiotics delivered by various routes, and postoperatively using antibiotic drops, said Dr. Shorstein, ophthalmologist and associate chief of quality, Diablo Service Area, Kaiser Permanente, Walnut Creek, CA.


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