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Updated: May 18, 2026
04:59
Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
[Infections after intraocular lens surgery: implications for refractive surgery]
1Zentrum für Refraktive Chirurgie, Augenabteilung am St. Franziskus Hospital, Münster. taneri@refraktives-zentrum.de
Klinische Monatsblatter Fur Augenheilkunde
|September 14, 2012
Summary
Postoperative endophthalmitis occurs in 0.04%-0.3% of cataract surgeries. This review provides evidence-based recommendations for prophylaxis, diagnosis, and therapy, differentiating it from toxic anterior segment syndrome (TASS).
Area of Science:
- Ophthalmology
- Infectious Disease
- Surgical Outcomes
Context:
- Crystalline lens extraction is increasingly used for refractive purposes beyond treating cataracts.
- Immediate sequential bilateral cataract surgery is gaining popularity globally.
- Differentiating postoperative endophthalmitis from toxic anterior segment syndrome (TASS) is crucial.
Purpose:
- To review current guidelines and studies on postoperative endophthalmitis incidence after lens extraction.
- To provide evidence-based recommendations for endophthalmitis prophylaxis, diagnosis, and therapy.
- To assess the impact of refractive lens procedures on endophthalmitis rates.
Summary:
- Endophthalmitis incidence after cataract surgery ranges from 0.04% to 0.3%.
- Povidone-iodine antisepsis is recommended; systemic and intravitreal antibiotics are advised for treatment.
- Toxic anterior segment syndrome (TASS) is a sterile inflammation, often caused by instrument cleaning agents or improper antibiotic preparation.
Impact:
- Highlights the need for standardized prevention and management strategies for endophthalmitis.
- Suggests a potentially lower infection rate with refractive lens implantation in phakic eyes, though data is limited.
- Recommends a prospective registry to accurately document endophthalmitis cases after refractive IOL implantation.
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