EFFICACY OF SUBCONJUNCTIVAL ANTIBIOTIC AND CORTICOSTEROID INJECTIONS AFTER PHACOEMULCIFICATION CATARACT SURGERY

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NASIRI N.

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Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2004 | Volume:17 | Issue:4 Page(s): 15-19

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Title

EFFICACY OF SUBCONJUNCTIVAL ANTIBIOTIC AND CORTICOSTEROID INJECTIONS AFTER PHACOEMULCIFICATION CATARACT SURGERY

Author(s)

NASIRI N. | Issue Writer Certificate

Keywords

SUBCONJUNCTIVAL INJECTIONQ4

PHACOQ4

CATARACTQ4

ANTIBIOTICQ4

CORTICOSTEROIDQ4

Abstract

Background: There is controversy as to the efficacy of SUBCONJUNCTIVAL INJECTIONs of ANTIBIOTICs and CORTICOSTEROIDs. We performed this study to assess the effectiveness of prophylactic ANTIBIOTICs and CORTICOSTEROID after PHACOemulcification CATARACT surgery.Materials and Methods: In this randomized clinical trial 397 patients were included, between September 2002 and August 2003. PHACOemulcification CATARACT surgery, under local anesthesia and insertion of Acrylic foldable lens was performed in all these patients.After comprehensive physical examination, patients were randomly divided into injected and non injected groups and followed for 11 (2-20) months. The results of this study were assessed based on the amount of anterior chamber reaction, presence of cell and flare, fibrin formation and occurrence of endophthalmitis and as well as patient satisfaction.Results: Average age for the injected group (206 patients) was 67+/-5.5 years (45-80), while this figure for non-injected group was 69+/-6.2 (64-78). Equal number of males and females were recruited in both groups. No case of endophthalmitis was seen in either group, over the study period. However, two cases of noninfectious endophthalmitis were seen in both study groups. The amount of anterior chamber reaction was considerable from statistical point of view (P>0.005). In patients who received ANTIBIOTIC and CORTICOSTEROID injection of 68% complained from pain during injection. Besides, subconjunctival hemorrhage and swelling were seen in 41.3% and 21.1% of patients, respectively. On the other hand, none of these complications were observed in non-injected group (P<0.0001).Conclusion: Our study showed that in uncomplicated PHACOemulsification CATARACT surgery for senile CATARACTs, no significant difference exists in patients with or without subconjunctival ANTIBIOTIC and steroid injection in terms of postoperative inflammation and endophthalmitis. Moreover, some complications such as hemorrhage and swelling of counjunctiva will not be observed among those operated without injection. In conclusion it is recommended that SUBCONJUNCTIVAL INJECTION not be prescribed in PHACO CATARACT surgeries.

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APA: Copy

NASIRI, N.. (2004). EFFICACY OF SUBCONJUNCTIVAL ANTIBIOTIC AND CORTICOSTEROID INJECTIONS AFTER PHACOEMULCIFICATION CATARACT SURGERY. JOURNAL OF CURRENT OPHTHALMOLOGY, 17(4), 15-19. SID. https://sid.ir/paper/53159/en

Vancouver: Copy

NASIRI N.. EFFICACY OF SUBCONJUNCTIVAL ANTIBIOTIC AND CORTICOSTEROID INJECTIONS AFTER PHACOEMULCIFICATION CATARACT SURGERY. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2004;17(4):15-19. Available from: https://sid.ir/paper/53159/en

IEEE: Copy

N. NASIRI, “EFFICACY OF SUBCONJUNCTIVAL ANTIBIOTIC AND CORTICOSTEROID INJECTIONS AFTER PHACOEMULCIFICATION CATARACT SURGERY,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 17, no. 4, pp. 15–19, 2004, [Online]. Available: https://sid.ir/paper/53159/en

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