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Evaluation of bacterial contamination rate of the anterior chamber during phacoemulsification surgery using an

Ibrahim Kocak1, Funda Kocak2, Bahri Teker1

  • 1Nisa Hospital, Fatih cad, Cobancesme mah, Bahcelievler, Istanbul 34196, Turkey.

International Journal of Ophthalmology
|August 28, 2014
PubMed
Abstract

Insights

This study found no bacterial contamination in the anterior chamber during phacoemulsification cataract surgery. Meticulous surgical techniques effectively prevent microbial contamination, ensuring patient safety.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Surgical Safety

Background:

  • Cataract surgery, specifically phacoemulsification, carries a risk of intraocular infection.
  • Preventing anterior chamber contamination is crucial for successful surgical outcomes.

Purpose of the Study:

  • To evaluate the incidence of bacterial contamination in the anterior chamber during phacoemulsification.
  • To assess the efficacy of standard surgical preparation in preventing microbial contamination.

Main Methods:

  • Prospective study of 60 patients undergoing phacoemulsification without pre-operative antibiotics.
  • Collection of two anterior chamber aqueous samples during surgery (start and end).
  • Utilized the automated BacT/Alert culture system for microbial detection.

Main Results:

  • Zero percent bacterial contamination was detected in anterior chamber samples.
  • No microorganisms were identified at the beginning or end of the surgery.
  • No cases of acute-onset endophthalmitis were observed post-operatively.

Conclusions:

  • Meticulous surgical preparation and technique effectively prevent anterior chamber contamination during phacoemulsification.
  • The study demonstrates a 0% contamination rate, highlighting the safety of the procedure.
  • Standard aseptic techniques are sufficient to maintain sterility within the anterior chamber.
Keywords:
bacterial contaminationendophthalmitisphacoemulsification

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