[Modification of the conjuntival flora with cleaning palpebral solutions].
OBJECTIVE
The aim of the present study is to evaluate the effectiveness of a solution of palpebral hygiene during the preoperative stage of cataract surgery.


METHODS
We studied 286 patients divided in 5 groups. One control group that did not use the product, and the remaining 4, that used the product during 3, 4, 5 and 6 days. The design of the study was prospective, randomize and masked. We took a sample of the conjunctival fundus in the morning of the day of the surgery, before commencing treatment with eye drops. This sample was sown according to microbiological techniques and analyzed by the microbiology department.


RESULTS
The best time for using palpebral hygiene solutions prior to cataract surgery is four to five days. If it is used at less than three days, it does not decrease the rate of positive cultures and if the solution is applied more than six days, microorganisms that are not part of the common conjunctival flora may appear.


CONCLUSIONS
Palpebral hygiene products should not be used more than five consecutive days previous to surgery.
Hueso Abancens
J R
JR
Servicio de Oftalmología, Hospital Universitario San Juan de Alicante, Alicante, Spain.
Mengual Verdú
E
E
Schargel Palacios
K
K
García Sánchez
J
J
Placeres Daban
J
J
García Conca
V
V
Zorraquino Marti
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003228:Conjunctiva / Q000187:drug effects* / Q000382:microbiology*; D005260:Female; D005998:Glycine / Q000031:analogs & derivatives* / Q000494:pharmacology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions / Q000494:pharmacology*; D011446:Prospective Studies
D009883:Ophthalmic Solutions; C024571:N-caproylglycine; D005998:Glycine