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    Intracameral antibiotics are a win for cataract surgery prophylaxis

    Long history, proven efficacy, short learning curve add to arguments in favor of intracameral


    Many efficacy studies

    Dr. Mah pointed out that there are many studies showing that intracameral antibiotics are superior to topicals in terms of efficacy. “In addition, intracameral antibiotics are a clear solution at the conclusion of surgery,” he added. “Therefore, patients can see just as well as after conventional surgery.”

    Another advantage is that there is no learning curve with intracameral administration for cataract surgeons. Dr. Mah contrasted intracameral antibiotics with the newer transzonular approach.

    “Right now, the transzonular approach is a wait-and-see,” Dr. Mah said. “It’s another interesting way of administering drugs to the eye, improving compliance, and possibly lessening endophthalmitis risk, but the jury is still out in saying it’s superior to topicals or intracamerals.”


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