As surgeons, our view of postcataract surgery endophthalmitis prevention is still not clear

Trivedi, Rupal H.; Wilson, M. Edward

doi:10.1038/sj.eye.6702493

Eye

2007

DOI: 10.1038/sj.eye.6702493

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As surgeons, our view of postcataract surgery endophthalmitis prevention is still not clear

Rupal H. Trivedi

M. Edward Wilson

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Cited by 3 publications

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“…As stated in our editorial, the wearing of face-masks during an operation to prevent potential microbial contamination of the incision is a long-standing surgical tradition. 1 However, many well-meaning traditions have inconclusive evidence of benefit underlying them. It is proper to challenge those traditions and critically examine the scientific evidence for continuing them.…”

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Reply to: Risk factors for endophthalmitis: does non-wearing of face-masks increase relative risk?

Wilson

Trivedi

2007

Eye

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aetiological factor as the upper incisors were most affected in our patient. 5 When prescribing oral tetracycline for the treatment of blepharitis in adult patients, it is important to advise on oral hygiene measures and on avoidance of sunlight to minimize staining of teeth. Patients should also be reassured that the stain may be removed with abrasive cleansing by dental surgeon. The evidence for the use of face-masks in surgery generally is poor, with no effect on theatre air bacterial counts 3 and no effect on wound infection rates in a major randomised controlled general surgical trial. 4 Culture plates placed around the patient during cataract surgery without masks have been shown in one study to have increased bacterial cell counts, 5 but there are no prospective studies of face-mask use and PIE. It would be surprising to find a greater effect from mask use in the prevention of PIE than pertains in general surgery, given that the majority of PIE organisms are presumed to originate from the patients' conjunctival flora. ReferencesWhere the evidence for benefit is uncertain, it is appropriate to assess adverse effects. Theatre masks increase condensation on operating microscopes and may impair the surgeons' view. Masks may rub on the face, thus displacing facial skin squames onto the operative site. Unnecessary use is inconvenient, wasteful, and impairs communication. In the absence of direct evidence of harm, we consider it reasonable to continue our current practise of not wearing face-masks in theatre.

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Reply to: Risk factors for endophthalmitis: does non-wearing of face-masks increase relative risk?

Wilson

Trivedi

2007

Eye

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Risk factors for endophthalmitis: does non-wearing of face-masks increase relative risk?

Leyland

Bacon

2007

Eye

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Prophylaxis of postoperative endophthalmitis after cataract surgery

Ranganath

Bansal

2017

Expert Review of Ophthalmology

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As surgeons, our view of postcataract surgery endophthalmitis prevention is still not clear

Cited by 3 publications

References 12 publications

Reply to: Risk factors for endophthalmitis: does non-wearing of face-masks increase relative risk?

Reply to: Risk factors for endophthalmitis: does non-wearing of face-masks increase relative risk?

Risk factors for endophthalmitis: does non-wearing of face-masks increase relative risk?

Prophylaxis of postoperative endophthalmitis after cataract surgery

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