title: Endophthalmitis Prophylaxis in Cataract Surgery: Overview of Current Practice Patterns Around the World.
abstract: Acute-onset postoperative endophthalmitis after cataract surgery remains a rare but important cause of visual loss. There is no global consensus regarding the optimal strategies for prophylaxis of endophthalmitis and practices vary substantially around the world, especially with respect to the use of intracameral antibiotics. The European Society of Cataract & Refractive Surgeons in a randomized clinical trial (2007) reported an approximately 5-fold reduction in endophthalmitis rates associated with the use of intracameral cefuroxime. Despite this report, the use of intracameral antibiotics has not been universally adopted.
  
  
  
  Various endophthalmitis prophylaxis patterns around the world (including the United States, Canada, Australia/New Zealand, Japan, China, India, Indonesia, South Africa, Argentina, Russia, Sweden and Mexico) are compared. Each contributing author was asked to provide similar information, including endophthalmitis rates based on published studies, current practice patterns, and in some cases original survey data. Various methods were used to obtain this information, including literature reviews, expert commentary, and some new survey data not previously published.
  
  
  
  Many different practice patterns were reported from around the world, specifically with respect to the use of intracameral antibiotics.
  
  
  
  There is no worldwide consensus regarding endophthalmitis prophylaxis with cataract surgery.
authors.affiliation: Professor of Ophthalmology, Department of Ophthalmology Poznan City Hospital, Ul. Szwajcarska 3, 60- 285, Poznan. Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Grzybowski
authors.affiliation: Department of Ophthalmology, University of Warmia and Mazury, Olsztyn. Poland.
authors.forename: Stephen G
authors.initials: SG
authors.lastname: Schwartz
authors.affiliation: Department of Ophthalmology, Nojima Hospital, Tottori. Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Matsuura
authors.affiliation: Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON. United States.
authors.forename: Stephan
authors.initials: S
authors.lastname: Ong Tone
authors.affiliation: Division of Ophthalmology, McMaster University, Hamilton, ON. Canada.
authors.forename: Steve
authors.initials: S
authors.lastname: Arshinoff
authors.affiliation: Eye and Vision Epidemiology Research Group, The University of Western Australia Perth. Australia.
authors.forename: Jonathon Q
authors.initials: JQ
authors.lastname: Ng
authors.affiliation: Department of Ophthalmology, University of Auckland. New Zealand.
authors.forename: Jay J
authors.initials: JJ
authors.lastname: Meyer
authors.affiliation: Department of Ophthalmology, Beijing Tongren Hospital Eye Center, Capital Medical University Beijing. China.
authors.forename: Wu
authors.initials: W
authors.lastname: Liu
authors.affiliation: Dr. Agarwal's Eye Hospital, Chennai. India.
authors.forename: Soosan
authors.initials: S
authors.lastname: Jacob
authors.affiliation: Department of Ophthalmology, Oregon Health & Science University, Portland, Oregon. United States.
authors.forename: Mark
authors.initials: M
authors.lastname: Packer
authors.affiliation: Klinik Meta Nusantara, Jakarta. Indonesia.
authors.forename: Rifna
authors.initials: R
authors.lastname: Lutfiamida
authors.affiliation: Klinik Meta Nusantara, Jakarta. Indonesia.
authors.forename: Sjakon
authors.initials: S
authors.lastname: Tahija
authors.affiliation: Visionmed Eye and Laser Clinic, Johannesburg. South Africa.
authors.forename: Paul
authors.initials: P
authors.lastname: Roux
authors.affiliation: S. Fyodorov Eye Microsurgery State Institution, Moscow. Russian Federation.
authors.forename: Boris
authors.initials: B
authors.lastname: Malyugin
authors.affiliation: Department of Ophthalmology, University Clinic Reina Fabiola, Catholic University of Cordoba. Argentina.
authors.forename: Julio A
authors.initials: JA
authors.lastname: Urrets-Zavalia
authors.affiliation: Department of Ophthalmology, University Clinic Reina Fabiola, Catholic University of Cordoba. Argentina.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Crim
authors.affiliation: Department of Ophthalmology, University Clinic Reina Fabiola, Catholic University of Cordoba. Argentina.
authors.forename: Evangelina
authors.initials: E
authors.lastname: Esposito
authors.affiliation: Argentine Council of Ophthalmology, Buenos Aires. Argentina.
authors.forename: Pablo
authors.initials: P
authors.lastname: Daponte
authors.affiliation: Department of Ophthalmology, Santa Lucia Hospital, University of Buenos Aires. Argentina.
authors.forename: Fernando
authors.initials: F
authors.lastname: Pellegrino
authors.affiliation: Instituto de Oftalmologia Fundacion Conde de Valenciana, Mexico City. Mexico.
authors.forename: Enrique O
authors.initials: EO
authors.lastname: Graue-Hernandez
authors.affiliation: Instituto de Oftalmologia Fundacion Conde de Valenciana, Mexico City. Mexico.
authors.forename: Aida
authors.initials: A
authors.lastname: Jimenez-Corona
authors.affiliation: School of Medicine, Tecnologico de Monterrey, Nuevo Leon. Mexico.
authors.forename: Jorge E
authors.initials: JE
authors.lastname: Valdez-Garcia
authors.affiliation: School of Medicine, Tecnologico de Monterrey, Nuevo Leon. Mexico.
authors.forename: Julio C
authors.initials: JC
authors.lastname: Hernandez-Camarena
authors.affiliation: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL. United States.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Relhan
authors.affiliation: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL. United States.
authors.forename: Harry W
authors.initials: HW
authors.lastname: Flynn
authors.affiliation: Aravind Eye Hospital, Madurai. India.
authors.forename: Ravilla D
authors.initials: RD
authors.lastname: Ravindran
authors.affiliation: Umea University, Umea. Sweden.
authors.forename: Anders
authors.initials: A
authors.lastname: Behnding
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D019072:Antibiotic Prophylaxis; D009877:Endophthalmitis / Q000188:drug therapy* / Q000517:prevention & control* / Q000601:surgery; D006801:Humans; D007270:Injections, Intra-Articular; D011183:Postoperative Complications / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Endophthalmitis; cataract surgery; cataract surgery
  complications; endophthalmitis prophylaxis; intracameral antibiotics; topical antibiotics