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Antibiotic and anti-inflammatory prophylaxis in cataract surgery: Latin America and the Caribbean survey

M. Papa-Vettorazzi, G. Silva-Linares, Neal H. Shorstein

The Pan-American Journal of Ophthalmology, 2025

1 citation

Abstract

The purpose of this study was to evaluate current practice patterns of antibiotic and anti-inflammatory prophylaxis in cataract surgery in Latin America and the Caribbean.

The study design involves cross-sectional online survey.

A link to an anonymous online survey consisting of 36 questions related to preoperative, perioperative, and postoperative antibiotic and anti-inflammatory prophylaxis was sent to ophthalmologists in our contact database who perform cataract surgery in Latin America and the Caribbean.

Responses were received from 407 cataract surgeons. Preoperative topical antibiotics were reported to be routinely prescribed by 45% of respondents and postoperatively by 99%. Routine intracameral (IC) antibiotic injection was reported by 51%, with moxifloxacin preferred by 84%. Reasons cited for not adopting injections included being unconvinced of the need (60%), mixing/compounding risk (26%), and cost (8%). Topical steroids were routinely prescribed by 96% of surgeons for the postoperative period, with 61% reporting using prednisolone. A nonsteroidal anti-inflammatory drug (NSAID) was routinely prescribed by 58% for the postoperative period. Nineteen percent of surgeons do not instruct patients to taper steroids, 47% instruct patients to taper topical antibiotics, and 29% NSAIDs (if prescribed). Routine corticosteroid injection at the conclusion of surgery was reported by 22%. Of these, 53% reported injecting in the subconjunctival space, 28% in the peribulbar region,…

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