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Published on: October 13, 2017
Infection following strabismus surgery
Abstract:
Sixty-three strabismus surgeons were surveyed regarding the incidence of infection they found following strabismus surgery and their use of preoperative and postoperative antibiotics to prevent or treat such infections. Cellulitis was rare (1 per 1,900 cases) and endophthalmitis was even rarer (1 per 30,000 cases). Infection was not entirely prevented by either preoperative or postoperative topical antibiotics. Twelve surgeons reported using no antibiotics but did not report higher rates of infection than those who did use them.
Insights
Strabismus surgery infection rates are very low, with cellulitis and endophthalmitis being rare. Antibiotics, both before and after surgery, did not fully prevent infections, and some surgeons used none without increased risk.
Area of Science:
- Ophthalmology
- Surgical Infections
Background:
- Strabismus surgery is common.
- Postoperative infections are a concern.
Purpose of the Study:
- To survey strabismus surgeons on infection incidence.
- To assess antibiotic use in preventing strabismus surgery infections.
Main Methods:
- Survey of 63 strabismus surgeons.
- Data collection on infection rates (cellulitis, endophthalmitis).
- Inquiry into antibiotic prophylaxis and treatment protocols.
Main Results:
- Cellulitis incidence: 1 in 1,900 cases.
- Endophthalmitis incidence: 1 in 30,000 cases.
- Topical antibiotics (pre- and post-op) did not fully prevent infections.
- Surgeons using no antibiotics reported similar infection rates.
Conclusions:
- Infection rates following strabismus surgery are low.
- Current antibiotic protocols may not be fully effective in preventing infections.
- Further research into optimal infection prevention strategies is warranted.
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