Bacterial Contamination Rate of the Anterior Chamber during Cataract Surgery using Conventional Culture and Eubacterial PCR

2010 ◽  
Vol 20 (2) ◽  
pp. 365-369 ◽  
Author(s):  
Pierre-Loïc Cornut ◽  
François Vandenesch ◽  
Gerard Lina ◽  
Yvonne Benito ◽  
Jerome Etienne ◽  
...  
2011 ◽  
Vol 151 (1) ◽  
pp. 11-17.e1 ◽  
Author(s):  
Hiroyuki Shimada ◽  
Shinzi Arai ◽  
Hiroyuki Nakashizuka ◽  
Takayuki Hattori ◽  
Mitsuko Yuzawa

1993 ◽  
Vol 5 (4) ◽  
pp. 267-271 ◽  
Author(s):  
Jose Luis Menezo ◽  
Antonio Miguel Duch-Samper ◽  
Mercedes Hurtado-Sarrió ◽  
Susana Checa ◽  
Amparo Navea ◽  
...  

1994 ◽  
Vol 78 (10) ◽  
pp. 772-774 ◽  
Author(s):  
D K Chitkara ◽  
T Manners ◽  
F Chapman ◽  
M G Stoddart ◽  
D Hill ◽  
...  

2002 ◽  
Vol 28 (5) ◽  
pp. 826-833 ◽  
Author(s):  
James K. Leong ◽  
Rajiv Shah ◽  
Peter J. McCluskey ◽  
Richard A. Benn ◽  
Frank R. Taylor

2021 ◽  
Vol 10 (16) ◽  
pp. 3611
Author(s):  
Hiroyuki Shimada ◽  
Hiroyuki Nakashizuka

Postoperative endophthalmitis after cataract surgery is typically caused by the patient’s own conjunctival normal bacterial flora. A three-step approach is recommended to prevent endophthalmitis: (1) “border control” to prevent microorganisms from entering the eye by disinfecting the ocular surface is the most important measure; (2) bacteria that have gained access into the anterior chamber are reduced by irrigation; (3) bacteria remaining in the anterior chamber and vitreous at the end of surgery are controlled by antibacterial drugs. We have devised a method, “the Shimada technique”, for irrigating the ocular surface with povidone-iodine, a disinfectant with potent microbicidal effect and established effective and safe concentrations for eye tissues. Povidone-iodine exhibits a bactericidal effect for a wide concentration range of 0.005–10%, but 0.1% povidone-iodine has the highest activity and requires the shortest time of only 15 s to achieve microbicidal effect. When used to irrigate the ocular surface every 20–30 s during cataract surgery, 0.25% povidone-iodine is conceivably diluted to around 0.1%. Irrigation with 0.25% povidone-iodine during cataract surgery significantly reduced bacteria contamination rate in the anterior chamber compared with saline (p = 0.0017) without causing corneal endothelial damage.


2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Jorge E Valdez-García ◽  
Alejandro Climent ◽  
Eduardo Chávez-Mondragón ◽  
Juan F Lozano-Ramírez

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