title: [Benefit of ocular draping on bacterial contamination after intravitreal injection using a plate-type eyelid speculum].
abstract: OBJECTIVE
  To evaluate the effect of ocular draping on rates of bacterial contamination of the ocular surface immediately after intravitreal injection using a plate-type eyelid speculum.
  
  
  METHODS
  Twelve institutions participated in this prospective randomized study. Patients from each institution undergoing intravitreal injections were randomly assigned to 2 groups, with and without ocular draping. Following each institution's standard protocol for aseptic preparation, intravitreal injection was performed using a plate-type eyelid speculum designed for intravitreal injections with or without draping. Immediately after the intravitreal injection, a cotton swab was used to obtain a sample at the injection site and sent for bacterial culture.
  
  
  RESULTS
  Of 262 eyes involved in the study, cultures were positive in five eyes (1.9%) using standard methods and positive in an additional 25 eyes (9.5%) using methods to increase culture sensitivity. There was no significant difference in the combined rate of bacterial contamination between the 2 groups (p = 0.561, Fisher's exact test).
  
  
  CONCLUSIONS
  Ocular draping did not decrease the rate of bacterial contamination immediately after intravitreal injection performed using a plate-type eyelid speculum.
authors.forename: Fumi
authors.initials: F
authors.lastname: Gomi
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ohashi
authors.forename: Masahito
authors.initials: M
authors.lastname: Ohji
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D015818:Eye Infections, Bacterial / Q000382:microbiology / Q000517:prevention & control*; D005143:Eyelids / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D058449:Intravitreal Injections / Q000009:adverse effects*; D008875:Middle Aged; D011446:Prospective Studies
chemical_list: D000900:Anti-Bacterial Agents