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Prophylactic antibiotics for ophthalmic surgery
Authors:Michael B. Starr M.D.  
Affiliation:

a Department of Ophthalmology, Lenox Hill Hospital, New York, New York, USA

b Manhattan Eye, Ear and Throat Hospital, New York, New York, USA

c New York Hospital-Cornell Medical Center, New York, New York, USA

Abstract:Preoperative or immediately postoperative antibiotics 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 antibiotics, however, from the standpoints of efficacy, delivery (route, dosage, and frequency of administration), adverse reactions, and cost is far less well established. This review considers these issues in the context of a critical evaluation of the pertinent literature.
Keywords:antibiotic prophylaxis   bacterial endophthalmitis   cataract surgery   endophthalmitis   gentamicin   ocular infection   subconjunctival administration   topical administration
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