JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (5): 66-67.doi: 10.6040/j.issn.1673-3770.0.2014.282

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Pre-operative irrigation of conjunctival sac using 0.5% povidone-iodine in preventing endophthalmitis after cataract surgery

FANG Xiu-ling, JIANG Hu-lin, WU Jian-xia, HAN Xu-wei, ZHANG Liao   

  1. Liaocheng Guangming Ophthalmology Hospital, Liaocheng 252000, Shandong, China
  • Received:2014-08-22 Published:2014-10-16

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Abstract: Objective To explore whether the irrigation of conjunctival sac using 0.5% povidone-iodine would prevent endophthalmitis after cataract surgery. Methods A total of 4 000 patients underwent cataract surgeries in our hospital from October 2012 to October 2013 were randomly enrolled in this study. All were divided into two groups: the experimental group and the control group. The experimental group used 0.5% povidone-iodine for conjunctiva sac irrigation before surgery and the control group used tobramycin. The bacterial rate of the conjunctival sac, the ocular surface side effects and post-operative endophthalmitis incidence were evaluated. Results The bacterial rate had statistically significant difference between the two groups (P<0.05); the ocular surface side effect had no statistically significant difference (P>0.05); There was no intraocular inflammation appeared in the experimental group, however, two cases of endophthalmitis occurred in the control group. Conclusion Tobramycin could be replaced by 0.5% povidone-iodine for pre-operative irrigation of conjunctival sac.

Key words: Phacoemulsification, Povidone iodine, Bacterial culture, Endophthalmitis

CLC Number: 

  • R776.1
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