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    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Strabismus Surgery

    Background:

    • Infection prophylaxis is crucial in strabismus surgery.
    • Standardized protocols for infection prevention are lacking.

    Purpose of the Study:

    • To characterize pediatric ophthalmologists' practices for infection prophylaxis in strabismus surgery.
    • To determine the timing of the first postoperative visit after strabismus surgery.

    Main Methods:

    • A 10-question survey was distributed to members of the American Association for Pediatric Ophthalmology and Strabismus.
    • Responses from 380 pediatric ophthalmologists were analyzed using frequencies and percentages.
    • Univariable tests assessed associations between prophylactic measures and prior infection experience.

    Main Results:

    • Most surgeons use povidone-iodine (88.4%), topical antibiotics (90%), and oral/topical antibiotics postoperatively (85.5%).
    • 85% of surgeons see patients within the first week post-op, with no preferred day.
    • Surgeons with prior infection experience were more likely to use IV antibiotics and adhesive drapes.

    Conclusions:

    • Consistent practices exist for povidone-iodine use, intraoperative topical antibiotics, and postoperative antibiotic/steroid regimens.
    • No consensus exists on the optimal timing for the first postoperative visit.
    • Prior infection experience may drive the adoption of more aggressive prophylactic measures.