Survey of Japanese ophthalmic surgeons regarding perioperative disinfection and antibiotic prophylaxis in cataract surgery

• DOI: 10.2147/opth.s64756
• Publication Date: 2014-09-30T00:18:17Z
• Authors: Kazuki Matsuura; Takafumi Mori; Takeshi Miyamoto; Chikako Suto; Yusuke Saeki; Shigeto Tanaka; Hajime Kawamura; Shinji Ohkubo; Masaki Tanito; Yoshitsugu Inoue
• Keywords: Ophthalmic surgery

To elucidate Japanese trends for perioperative disinfection and antibiotic selection during cataract surgeries.Perioperative iodine use prophylaxis surgery were surveyed in eight regions Japan by mail or through interviews from February 1 to March 1, 2014.We 572 surgeons, of whom 386 (67%) responded. Most the surgeons (94%) used compounds before periocular skin (povidone-iodine [PI]: 79%; polyvinyl alcohol-iodine [PAI]: 15%) conjunctival (85%; PI: 36%; PAI: 49%). Preoperative was primarily as an eye wash (irrigation: 95%) less often drop (5%). It determined that 31% waited 30 seconds more between disinfection. During surgery, 14% several times, including immediately intraocular lens insertion, 7% Shimada technique (repeated irrigation). drops 99% antibiotics added irrigation bottle 22%. The reported subconjunctival injections (23%), ointments (79%), intracameral (7%: 22 moxifloxacin; 6 levofloxacin). All prescribed postoperative drops, with 10% initiating on day surgery.Iodine are commonly preoperatively, but few institutions intraoperatively, particularly repeated application. administration has be at surgeon's discretion. However, intraoperative compound techniques should widely recognized.