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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

    Intracameral antibiotics for prophylaxis during cataract surgery are a safe and effective option compared with a topical or transzonular approach, said Francis S. Mah, MD.

    “It’s a timely topic,” said Dr. Mah, director of cornea and external diseases; co-director of refractive surgery, Scripps Health, La Jolla, CA. “Right now, there’s a lot of discussion about drug delivery, compliance, and drug costs. A lot of surgeons are looking for better options.”

    CounterpointTranszonular approach to antibiotic delivery during cataract surgery is preferable

    The interest in intracameral antibiotics as prophylaxis against infection began with the first published studies in the early 1990s by Per Montan, in Europe, Dr. Mah said. “Over time, they’ve gained in momentum,” he said. “There is study after study proving their efficacy, including large studies in the United States showing that intracameral antibiotics are superior to what we have historically done, which is use a topical approach.”


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