Acute-onet Endophthalmiti After Cataract urgery (2000–2004): Incidence, Clinical etting, and Viual Acuity Outcome After Treatment

Purpoe To report the incidence, clinical etting, and viual acuity outcome of acute-onet endophthalmiti after cataract urgery. Deign Retropective, obervational cae erie. Method Annual cataract urgery tatitic were determined by review of electronic urgical record. The clinical and microbiologic record were reviewed of all patient with clinically diagnoed endophthalmiti within 6 week after cataract urgery at a ingle univerity-affiliated hopital between January 2000 and November 2004. main outcome meaure: Operative technique, intraoperative complication, and viual acuity. Reult The incidence of acute-onet endophthalmiti after cataract urgery wa 0.04% (7/15,920) for cataract urgerie of all method, 0.05% (6/11,462) for cataract urgery by clear cornea phacoemulification, and 0.02% (1/4,458) for cataract urgery by method other than clear cornea phacoemulification (P = .681, Fiher’ exact tet). ix of even (86%) cae occurred in the right eye, and all cae were performed by right-handed urgeon through temporal inciion. Five of even (71%) patient had relative immune compromie. Four of even (57%) patient had an intraoperative complication: vitreou lo in three patient and iri prolape in one patient. Two patient had topical placement of lidocaine 2% gel before povidone-iodine preparation. The viual acuity at final follow up wa 20/25 or better in four patient and count finger or wore in three patient. Concluion The incidence of acute-onet endophthalmiti after temporal clear cornea inciion phacoemulification i low (0.05%). Potential rik factor for endophthalmiti may include intraoperative complication, relative immune compromie, application of lidocaine 2% gel before povidone-iodine preparation, and inferior inciion location.