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.

Issue link: http://outpatientsurgery.uberflip.com/i/798078

Contents of this Issue


Page 106 of 138

M A R C H 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 1 0 7 nificantly associated with the infections. To be clear, intracameral injections are not the "dropless" approach that's recently been touted. "The 'dropless' is injected into the vitreous," says Dr. Newsom. "This is all just into the ante- rior chamber. It's just a little squirt at the end of the case." Another study found a significant correlation between posterior capsular ruptures that occur during anterior vitrectomies and the development of endophthalmitis. That makes sense, says Dr. Newsom. "When you hit the interior vitreous, you go from a 5- minute cataract surgery to a 15- to 20-minute cataract surgery. You have to clean it up, so you're in the eye longer. There's just a higher risk of all kinds of complications, and endophthalmitis is one of those complications." Specifically, according to data culled from the Royal College of Opthalmologists' National Ophthalmology Database, (osmag.net/3yrzca), which looked at more than 180,000 eyes from nearly 128,000 patients, "the rate of endophthalmitis within 3 months of cataract surgery was approximately 8 times higher in cases with posterior capsular rupture than [it was in] those without." Ruptures happen to every ophthalmologist, says Dr. Newsom. "If you do enough surgeries, you're going to have a broken cap- sule. There's no way around it. But when it happens, you need to think about that much higher risk and always give intracameral antibiotics." In Dr. Newsom's case, when ruptures happen, he'll be doing everything he can to keep an impressive streak of success alive. "Luckily, I'm 40,000 surgeries in and have had zero cases of endophthalmitis," he says. — Jim Burger

Articles in this issue

Links on this page

Archives of this issue

view archives of Outpatient Surgery Magazine - No Guarantees - March 2017 - Subscribe to Outpatient Surgery Magazine