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Suture contamination in strabismus surgery.

H Sprague Eustis1, Annette Rhodes

  • 1Department of Ophthalmology, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, LA 70121, USA. heustis@ochsner.org

Journal of Pediatric Ophthalmology and Strabismus
|August 23, 2012
PubMed
Summary

Bacterial contamination of strabismus surgery sutures is common, affecting 28% of cases. Pre-treating sutures with antiseptic significantly reduces contamination, lowering the risk of serious eye infections like endophthalmitis.

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Area of Science:

  • Ophthalmology
  • Infectious Disease
  • Surgical Innovation

Background:

  • Strabismus surgery involves sutures that can become contaminated.
  • Endophthalmitis is a rare but severe complication following strabismus surgery.

Observation:

  • This prospective study analyzed suture contamination rates in 302 strabismus surgeries.
  • Sutures were divided into three groups: untreated, antibiotic/steroid-coated, and antiseptic-soaked/antibiotic-coated.

Findings:

  • Bacterial contamination was observed in 28% of untreated sutures, 22% of antibiotic/steroid-coated sutures, and 9% of antiseptic-soaked/antibiotic-coated sutures.
  • The reduction in bacterial growth with antiseptic treatment was statistically significant (P = .006).
  • One case of endophthalmitis occurred and was successfully treated; no complications arose from treated sutures.

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Implications:

  • High suture contamination rates in strabismus surgery highlight a potential pathway for endophthalmitis.
  • Antiseptic treatment of sutures offers a significant reduction in bacterial contamination.
  • This prophylaxis measure may help prevent rare but devastating post-surgical infections.