Post-Cataract Surgery Endophthalmitis Prophylaxis Survey in Thai Ophthalmologists
Abstract
Purpose To determine current perioperative practice patterns for the prevention of endophthalmitis following cataract surgery in Thailand. Design Cross-sectional Survey Study. Methods An online questionnaire was distributed nationwide to certified ophthalmologists, consisting of 21 questions covering 10 preoperative, 7 intraoperative, and 4 postoperative measures for the prevention of post-cataract surgery endophthalmitis. Subgroup analyses were performed to compare practices between general ophthalmologists, retina/uveitis specialists (R/U), and other subspecialists (Non-R/U). Results A total of 426 responses were analyzed. Preoperative topical antibiotics (21.1%, n = 90) and oral antibiotics (4.9%, n = 21) were rarely prescribed. The most common antiseptic for skin preparation was 10% povidone-iodine (72.3%, n = 308). Intracameral antibiotics were adopted by 54.7% of respondents (n = 233). Postoperative topical antibiotics were almost universally prescribed (99.5%, n = 424). Moxifloxacin was the most preferred topical (preoperative: 45.6%, n = 41, postoperative: 46.4%, n = 197) and intracameral (57.1%, n = 133) antibiotic. Subspecialty analysis revealed that R/U specialists were more prone to use 10% povidone-iodine (relative risk ratio [RRR] 2.37, 95% CI 1.16 to 4.82) and antiseptic applied to fornix (RRR 2.62, 95% CI 1.26 to 5.46) than the general ophthalmologist group. Conclusion Although the majority of Thai ophthalmologists align their practices with international…
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