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Gaceta Médica Espirituana
On-line version ISSN 1608-8921
Abstract
LEON BERNAL, Danysleidi et al. Prophylaxis of postoperative endophthalmitis with intracamerular cefuroxime. Gac Méd Espirit [online]. 2019, vol.21, n.3, pp. 69-78. Epub Dec 03, 2019. ISSN 1608-8921.
Background:
Cataract surgery is the most performed ophthalmologic intervention in the world with successful postoperative visual results, so a postoperative endophthalmitis is one of the most feared and devastating complications.
Objective:
To characterize cataract surgery patients who were given intracameral cefuroxime as a prophylactic method of postoperative endophthalmitis during the first 6 months of its application.
Methodology:
A retrospective study was carried out at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus from October 15, 2015 to April 15, 2016. The universe consisted of 575 patients operated on from cataract surgery with a sample of 538 patients which were applied intracamerular cefuroxime as a prophylactic method.
Results:
538 patients were included, 279 women and 259 men with an average age of 46 to 60 years. There were complications in 21 eyes. In no patient was toxic inflammatory syndrome associated with the use of intraocular medications. A single case of endophthalmitis was reported and extracapsular extraction was performed.
Conclusions:
The injection of intracameral cefuroxime is a simple, effective and safe maneuver for the prophylaxis of postoperative endophthalmitis.
Keywords : Endophthalmitis/surgery; cefuroxime; postoperative complications; antibiotic prophylaxis; phacoemulsification.