Monday 2 November Article Swipe

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Cheryl P. Au , Andrew White , Paul R. Healey , Tiger Zhou , John Landers , Richard Mills , Matthew A. Brown , Paul Leo , Jonathan Ellis , Alex W. Hewitt , Shiwani Sharma , Kathryn P. Burdon , Jamie E. Craig , Renouf Foyer , Michael Fowler , Michael Centre , G. W. Crock , John Parr Trophy , Stuart L. Graham , Brad Horsburgh , Jessica Trollip , John Dickson , Steve Mackay , Brian A. Darlow , Shuan Dai , Nathan M. Kerr , H. Lew , Simon E. Skalicky , Mark C. Gillies , Anna Campain , Daniel Barthelmes , Judy M. Simpson , Jennifer Arnold , Robyn H. Guymer , Ian L. McAllister , Rohan W. Essex , Nigel Morlet , Alex P. Hunyor , Tin Aung , Norman Lecture , Peter McCluskey , A Prof , Michael Lawless , Ike Ahmed , David Kent , Charles N. J. McGhee , Randall J. Olson , D Ramamurthy , Heather G. Mack , Andrea L. Vincent ·

YOU? · · 2015 · Open Access · · DOI: https://doi.org/10.1111/ceo.12650

Purpose: Endophthalmitis is a rare but devastating post-operative complication of cataract surgery.A major randomized controlled trial suggested that the addition of intracameral antibiotics at the end of surgery reduced the risk of endophthalmitis; however, controversy still exists with a recent editorial suggesting that its value remains uncertain.We therefore aimed to describe the incidence of post-operative endophthalmitis in an Australian population over a 14year period, comparing the endophthalmitis rates pre and post the use of intracameral vancomycin.Method: This study included all cataract operations performed from 2000 to 2014 at Westmead Hospital, Sydney.A retrospective chart review was performed to quantify the incidence of endophthalmitis occurring after cataract surgery pre and post the routine use of intracameral vancomycin in 2004.Results: A total of 14805 cataract cases were performed at Westmead Hospital from 2000 to 2014.Of the 341 endophthalmitis cases identified, 17 were post-cataract surgery (5.0%).The remaining endophthalmitis cases were endogenous, post-intravitreal injections, secondary to keratitis or from other causes such as intravenous drug use.In the period 2000 to 2003, the incidence of post-operative endophthalmitis was 0.43% (11/2539).From 2004 to 2014, there was a dramatic decrease in the incidence of post-operative endophthalmitis to 0.049% (6/12266, P < 0.0001).Conclusions: There has been a ninefold reduction in the rate of post-operative endophthalmitis with the use of intracameral vancomycin in cataract surgery.Since the introduction of the routine use of intracameral antibiotics, post-cataract surgery endophthalmitis is now a relatively rare cause of endophthalmitis in this Australian population. P05022.

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Medicine

Optometry

Ophthalmology

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Medicine Optometry Ophthalmology

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Type: article
Language: en
Landing Page: https://doi.org/10.1111/ceo.12650
PDF: https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ceo.12650
OA Status: hybrid
Cited By: 1
Related Works: 10
OpenAlex ID: https://openalex.org/W4248692307

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DOI: https://doi.org/10.1111/ceo.12650

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Title: Monday 2 November

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Type: article

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Language: en

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Publication year: 2015

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Publication date: 2015-10-01

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Authors: Cheryl P. Au, Andrew White, Paul R. Healey, Tiger Zhou, John Landers, Richard Mills, Matthew A. Brown, Paul Leo, Jonathan Ellis, Alex W. Hewitt, Shiwani Sharma, Kathryn P. Burdon, Jamie E. Craig, Renouf Foyer, Michael Fowler, Michael Centre, G. W. Crock, John Parr Trophy, Stuart L. Graham, Brad Horsburgh, Jessica Trollip, John Dickson, Steve Mackay, Brian A. Darlow, Shuan Dai, Nathan M. Kerr, H. Lew, Simon E. Skalicky, Mark C. Gillies, Anna Campain, Daniel Barthelmes, Judy M. Simpson, Jennifer Arnold, Robyn H. Guymer, Ian L. McAllister, Rohan W. Essex, Nigel Morlet, Alex P. Hunyor, Tin Aung, Norman Lecture, Peter McCluskey, A Prof, Michael Lawless, Ike Ahmed, David Kent, Charles N. J. McGhee, Randall J. Olson, D Ramamurthy, Heather G. Mack, Andrea L. Vincent

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Landing page: https://doi.org/10.1111/ceo.12650

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OA URL: https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ceo.12650

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Concepts: Medicine, Optometry, Ophthalmology

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Cited by: 1

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