Outpatient Surgery Magazine

No Guarantees - March 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 105 of 138

1 0 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 7 Could One "Little Squirt" Be All That's Needed? INTRACAMERAL INJECTIONS Two retrospective studies suggest that intracameral antibiot- ic injections at the end of cataract surgery can prevent endoph- thalmitis. The first (osmag.net/jdtm6j) involved a California hospital that gradually increased its use of intracameral injections of cefuroxime, moxifloxacin or van- comycin during cataract surgeries between 2007 and 2011. As injections increased, the number of endophthalmitis cases per 1,000 surgeries decreased from 3.13 in 2007, to 1.43 in 2008-9, to 0.14 in 2010-11. The study also called into question whether topical antibiotics reduce the likelihood of infection, says cataract and refractive sur- geon T. Hunter Newsom, MD, founder of the Newsom Eye & Laser Center in Tampa and Sebring, Fla. "In theory, you could just give intracameral antibiotics and nothing else, and you'd be fine," he says. Another study, done in France (osmag.net/xeg6fy), found that administering antibiotics intracamerally — especially cefuroxime — dramatically reduced the incidence of endophthalmitis. Examining more than 5,000 patients who'd had cataract surgery, the study found that only one of the roughly 2,300 who'd been given intracameral cefuroxime developed endophthalmitis. But among the roughly 2,800 who were not given the injection, 35 developed endophthalmitis. And no intraoperative factor was sig- • ONE SHOT An intracameral antibiotic injection may be all that's needed to prevent endophthalmitis.

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