title: Surgical, antiseptic, and antibiotic practice in cataract surgery: Results from the European Observatory in 2013.
abstract: OBJECTIVE
  To report the results from the first iteration of the European Observatory of Cataract Surgery, which was initiated to track changes in surgical, antiseptic, and antibiotic practices in cataract surgery over the coming years.
  
  
  METHODS
  Practicing European cataract surgeons (n = 479).
  
  
  METHODS
  Internet-based declarative questionnaire or telephone questionnaire.
  
  
  METHODS
  The questionnaire comprised 37 questions divided into 8 categories as follows: screening, surgeon profile, surgical procedure used, product use before arrival at the operating room, techniques for mydriasis and anesthesia, product use during the surgery, product use after the patient leaves the operating room, and surgeon's attitude to guidelines.
  
  
  RESULTS
  Cataract surgeons (n = 2700) were initially contacted, of whom 479 (17.7%) were included in the survey. The current baseline survey revealed considerable variation between countries in their implementation of infectious postoperative endophthalmitis (IPOE) prophylaxis. In some countries, adoption of intracameral cefuroxime is almost universal, whereas in others, the use of such prophylaxis is below one half. When intracameral cefuroxime is used, it is generally cefuroxime powder designed for parenteral use. A preparation specifically registered for intracameral use is now available, and this formulation is more commonly used in countries in which intracameral cefuroxime was most widely adopted.
  
  
  CONCLUSIONS
  The baseline results from this ongoing survey suggest a considerable level of heterogeneity between European countries in IPOE prophylaxis. Further iterations of this survey will monitor whether a consensus begins to emerge.
  
  
  BACKGROUND
  This work was supported by Laboratoires Théa, under the supervision of the expert group. Members of the expert group were remunerated by Laboratoires Théa. J.F. Stolz, MD, PhD, provided editorial assistance in manuscript preparation, for which he was remunerated by Laboratoires Théa. Anders Behndig, Rita Mencucci, and Jacek P. Szaflik report no relevant conflicts of interest.
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium. Electronic address: anders.behndig@ophthal.umu.se.
authors.forename: Anders
authors.initials: A
authors.lastname: Behndig
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium.
authors.forename: Beatrice
authors.initials: B
authors.lastname: Cochener-Lamard
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium.
authors.forename: José
authors.initials: J
authors.lastname: Güell
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium.
authors.forename: Laurent
authors.initials: L
authors.lastname: Kodjikian
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium.
authors.forename: Rita
authors.initials: R
authors.lastname: Mencucci
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium.
authors.forename: Rudy
authors.initials: R
authors.lastname: Nuijts
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium.
authors.forename: Uwe
authors.initials: U
authors.lastname: Pleyer
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium.
authors.forename: Paul
authors.initials: P
authors.lastname: Rosen
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium.
authors.forename: Jacek
authors.initials: J
authors.lastname: Szaflik
authors.affiliation: From Umeå University Hospital (Behndig), Umeå, Sweden; Hôpital de la Croix-Rousse (Lamard), Lyon, France; Autonoma University of Barcelona (Güell), Barcelona, Spain; Hôpital de la Croix-Rousse (Kodjikian), Lyon, France; Università degli Studi di Firenze (Mencucci), Florence, Italy; Medical University Center Maastricht (Nuijts), Maastricht, Netherlands; Humboldt University (Pleyer), Berlin, Germany; John Radcliffe Hospital (Rosen), Oxford, United Kingdom; Medical University of Warsaw (Szaflik), Warsaw, Poland; University Hospital Antwerp (Tassignon), Antwerp, Belgium.
authors.forename: Marie-Jose
authors.initials: MJ
authors.lastname: Tassignon
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D002387:Cataract Extraction / Q000379:methods* / Q000706:statistics & numerical data; D009877:Endophthalmitis / Q000382:microbiology / Q000517:prevention & control*; D005062:European Union; D006306:Health Surveys; D006801:Humans; D020407:Internet; D008875:Middle Aged; D009885:Ophthalmology / Q000458:organization & administration / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000517:prevention & control*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012955:Societies, Medical / Q000458:organization & administration; D011795:Surveys and Questionnaires
chemical_list: D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local