| Title | Is it necessary to use tobramycin-dexamethasone eye ointment prophylactically in eyes at the end of intraocular surgery? |
| Authors | Zhang, Wei Han, Han Feng, Kang Wang, Xiaohong Du, Mei Meng, Xiangda Liu, Yuanyuan Huang, Bo Brant, Rodrigo Yan, Hua |
| Affiliation | Tianjin Med Univ, Tianjin Eye Hosp, Tianjin Eye Inst, Clin Coll Ophthalmol,Tianjin Key Lab Ophthalmol &, Tianjin, Peoples R China Tianjin Med Univ, Dept Ophthalmol, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R China Peking Univ, Dept Ophthalmol, Hosp 3, Beijing, Peoples R China Tianjin Med Univ, Lab Mol Ophthalmol, Tianjin, Peoples R China Tianjin Med Univ, Sch Basic Med Sci, Dept Pharmacol, Tianjin, Peoples R China Tianjin Med Univ, Sch Basic Med Sci, Tianjin Key Lab Inflammat Biol, Tianjin, Peoples R China Univ Mississippi, Med Ctr, Dept Ophthalmol, Jackson, MS 39216 USA Univ Fed Sao Paulo, Dept Ophthalmol & Visual Sci, BR-04023062 Sao Paulo, Brazil |
| Keywords | PARS-PLANA VITRECTOMY CATARACT-SURGERY ENDOPHTHALMITIS PROPHYLAXIS INFLAMMATION ANTIBIOTICS 20-GAUGE 25-GAUGE PATTERNS EFFICACY |
| Issue Date | 27-May-2020 |
| Publisher | BMC OPHTHALMOLOGY |
| Abstract | Background There are no data available regarding the complications associated with using antibiotic ointment at the end of intraocular surgery. This study aimed to explore the necessity of using ocular tobramycin-dexamethasone prophylactically at the end of intraocular surgery. Methods This was a retrospective cohort study of patients who received intraocular surgery at Tianjin Medical University General Hospital from January 2015 to December 2017. The patients were grouped according to whether they received tobramycin-dexamethasone eye ointment or not after surgery. The Tobramycin dexamethasone eye ointment was sampled to observe bacterial contamination pathogens at 0.5, 1, 1.5, 2, 2.5, 3, 6, 8, 24, 36, 48, 72, and 168 h after being opened. Results A total of 3811 eyes in 3811 patients (mean age of 63 +/- 12 years) were included: 2397 eyes that received prophylactic tobramycin-dexamethasone eye ointment and 1414 eyes that did not. The overall rate of endophthalmitis was 0.08% (3/3811) in our study, all in the eye ointment group (0.12%, 3/2397); no patients developed endophthalmitis in the non-ointment group (0%, 0/1414)(P = 0.184). The anterior chamber reactions 1 day after surgery were more serious in the eye ointment group compared with the non-ointment group (all P < 0.05), but there were no statistically significant differences at 1 month postoperatively (all P > 0.05). The contamination rate was 0% at all time points over 7 days. Conclusion We did not observe a statistically significant difference in the incidence of endophthalmitis in patients with or without prophylactic tobramycin-dexamethasone eye ointment. And tobramycin-dexamethasone eye ointment seemed to increase some side effects such as eye secretions increasing and foreign body feeling. |
| URI | http://hdl.handle.net/20.500.11897/589726 |
| DOI | 10.1186/s12886-020-01476-z |
| Indexed | SCI(E) |
| Appears in Collections: | 第三医院 |
