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Related Experiment Videos

Does surgical technique influence cataract surgery contamination?

F Koç1, Z Akçam, S Kuruoğlu

  • 1Department of Ophthalmology, Ondokuz Mayis University, School of Medicine, Samsun, Turkey. dr_feray@yahoo.com

European Journal of Ophthalmology
|April 4, 2001
PubMed
Summary

Phacoemulsification (PE) and extracapsular cataract extraction (ECCE) showed similar cataract surgery contamination rates. Prolonged operating times increased contamination risk in ECCE but not PE.

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Area of Science:

  • Ophthalmology
  • Surgical Infection Control
  • Microbiology

Background:

  • Cataract surgery is a common procedure with potential risks of intraocular infection.
  • Comparing contamination rates between different surgical techniques is crucial for patient safety.

Purpose of the Study:

  • To prospectively compare the rates of cataract surgery contamination between large-incision extracapsular cataract extraction (ECCE) and phacoemulsification (PE).

Main Methods:

  • Sixty-five patients undergoing cataract surgery were divided into two groups: 35 for ECCE and 30 for PE.
  • Conjunctival swab cultures were obtained pre-operatively, and anterior chamber aspirates were cultured post-operatively.

Main Results:

  • Anterior chamber contamination rates were similar between ECCE (22.8%) and PE (23%) groups (p>0.05).

Related Experiment Videos

  • Increased operating time significantly raised contamination rates in the ECCE group (p<0.05) but not in the PE group (p>0.05).
  • No significant difference in contamination was observed between silicone and PMMA intraocular lens (IOL) implantation.
  • Conclusions:

    • Routine phacoemulsification (PE) is not superior to classical extracapsular cataract extraction (ECCE) regarding contamination rates when performed under similar conditions.
    • Prolonging the operating time increases the risk of contamination in classical ECCE procedures.