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Antimicrobial prophylaxis for ophthalmic surgery
Authors:Joel Mindel   Editor   MD Michael B. Starr  MD Joseph M. Lally
Affiliation:

1New York, New York, USA

2Charleston, South Carolina, USA

Abstract:
Preoperative, intraoperative, and postoperative antibiotic agents have been used by ophthalmic surgeons routinely as prophylaxis for postoperative endophthalmitis. The rationale for such prophylaxis and the evidence which supports its efficacy are well founded. The optimal choice of antibiotic agent—from the standpoint of efficacy, route of delivery, adverse reactions, and cost—is far less established. This review considers these issues, as well as the role of topical disinfectants, including povidone-iodine, in preoperative prophylaxis.
Keywords:antibiotics   antimicrobials   cataract surgery   drug delivery   endophthalmitis   providone-iodine   prophylactic antimicrobials
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