Change in Nationwide Incidence of Post-Cataract Surgery Endophthalmitis: Korean Cohort Study from 2002 to 2013

Oh, Baek Lok; Lee, Jeong Seok; Lee, Hee Young; Yu, Hyeong Gon

doi:10.1080/09273948.2018.1484492

Cited by 8 publications

(7 citation statements)

References 23 publications

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“…Our findings are in agreement with the results of recent studies from other countries, which showed a significant decrease in the incidence of POE after cataract surgery over time [6,7,13,14,15]. The results of the recent studies of POE which comprised over 100,000 participants are presented in Table 6.…”

Section: Discussionsupporting

confidence: 92%

Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015

Nowak¹,

Grzybowski

Michalska-Małecka

et al. 2019

IJERPH

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Background: The assessment of the incidence and characteristic of acute and chronic postoperative endophthalmitis (POE) after cataract surgery in Poland during 2010–2015. Patients and methods: All hospitalizations of patients, in the National Database of Hospitalizations, who underwent cataract surgery alone or in combined procedures in Poland between January 2010 and December 2015, with a billing code of endophthalmitis, were selected. Acute endophthalmitis was identified if symptoms occurred within 1–42 days from the cataract surgery and chronic endophthalmitis if symptoms occurred ≥43 days after cataract surgery, respectively. Results: In total, 1331 cases of POE after 1,218,777 cataract extractions were identified. The overall incidence of POE decreased from 0.125% in 2010 to 0.066% in 2015. In multiple logistic regression analyses, increasing age was significantly associated with acute POE, while type II diabetes mellitus, extracapsular cataract extraction, and one-day surgery were significantly associated with chronic POE. The combined cataract surgery and male sex were significant risk factors for both acute and chronic POE. A total of 62.51% of all eyes affected by POE received antibiotic treatment and 37.49% had vitrectomy treatment. Conclusions: During the study period, the total incidence of postoperative endophthalmitis after cataract surgery decreased significantly.

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Section: Discussionsupporting

confidence: 92%

Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015

Nowak¹,

Grzybowski

Michalska-Małecka

et al. 2019

IJERPH

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“…The incidence of endophthalmitis decreased significantly in the three periods of the 12 years, and it was significantly lower than 0.033% reported by large ophthalmology institutions in China in the past 3 years. It was similar to the results of Oh et.al 7 about big data of cataract surgery in South Korea from 2002 to 2013.…”

Section: Discussionsupporting

confidence: 90%

“…As a consequence, there was no correlation analysis in this study. In this study, univariate analysis showed that behindthe-lens washout during cataract surgery had a significant effect on inhibiting the incidence of postoperative preventing endophthalmitis, which was consistent with the view of Oshika et al 30 In cataract extraction, it is necessary to remove the ophthalmic viscoelastic agent to prevent high intraocular pressure, but behind-the-lens washout can more sufficient to clean the surface of IOL, because studies 7,9,[31][32][33] showed bacteria could adhere to the surface of ophthalmic instruments and IOL, increasing the risk of endophthalmitis, especially hydrophobic IOL.…”

Section: Discussionsupporting

confidence: 89%

“…Many studies 26,27 have shown the effectiveness of cleaning conjunctival sac with povidone-iodine in the prevention of endophthalmitis, even in the replacement of antibiotics. 7,28,29 All cataract patients in our hospital were disinfected with povidone-iodine conjunctival sac before operation during the period of this study. As a consequence, there was no correlation analysis in this study.…”

Section: Discussionmentioning

confidence: 99%

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Acute Infectious Endophthalmitis After Cataract Surgery: Epidemiological Characteristics, Risk Factors and Incidence Trends, 2008–2019

Sun¹,

Guo²,

Li³

et al. 2021

IDR

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Objective Intended to investigate the epidemiological characteristics, risk factors and incidence trend of endophthalmitis after cataract surgery in recent 12 years. Methods A retrospective study was conducted on the patients who underwent cataract surgery in Qingdao Eye Hospital from January 1, 2008, to December 31, 2019, including age, sex, history of diabetes, intraoperative operation and complications. In addition, the related risk factors and incidence trend of acute infective endophthalmitis were analyzed. The incidence of endophthalmitis and its related factors were analyzed by univariate and multivariate logistic regression analysis. Results A total of 55,612 cases of cataract surgery were performed in our hospital in 12 years, and 42 cases of acute infective endophthalmitis occurred (the incidence rate was 0.076%). The average occurrence time was 10.57 days ± 11.17, with eye pain as the main complaint and anterior chamber fibrin exudation as the main clinical manifestation. In addition, there were eight cases of anterior chamber hypopyon and 18 cases of vitreous reaction, the results of anterior aqueous humor or vitreous fluid culture in 10 patients were positive. Univariate analysis showed that intraoperative rupture of posterior capsule, non-use of antibiotics and non-use of behind-the-lens washout were the risk factors of infectious endophthalmitis after cataract surgery (P=0.032, P=0.000, P=0.000). Besides, multivariate logistic regression analysis showed that intraoperative rupture of posterior capsule was the main risk factor. Conclusion The occurrence of endophthalmitis after cataract surgery is mainly related to intraoperative rupture of posterior capsule, absence of antibiotics and behind-the-lens washout. In addition, the incidence of endophthalmitis after cataract surgery decreased during the past 12 years.

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“…Our findings are in agreement with the results of the recent studies from other countries, which showed a significant decrease in the incidence of POE after cataract surgery over time. [6,7,13,14,15] The results of the recent studies of POE which comprised over 100 000 participants are presented in Table 6. Our total incidence rate of POE (0.109%) was similar to the rate found in a nationwide study in France.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010-2015

Nowak¹,

Grzybowski

Michalska-Małecka

et al. 2019

Preprint

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Background: The assessment of the incidence and characteristic of acute and chronic post-operative endophthalmitis (POE) after cataract surgery in Poland during 2010 - 2015. Patients and methods: All hospitalizations of patients, in the National Database of Hospitalizations, who underwent cataract surgery alone or in combined procedures in Poland between January 2010 and December 2015, with a billing code of endophthalmitis, were selected. Acute endophthalmitis was identified if symptoms occurred within 1 - 42 days from the cataract surgery and chronic endophthalmitis if symptoms occurred ≥ 43 days after cataract surgery, respectively. Results: In total, 1331 cases of POE after 1,218,777 cataract extractions were identified. The overall incidence of POE decreased from 0.125% in 2010 to 0.066% in 2015. In multiple logistic regression analyses, increasing age was significantly associated with acute POE, while type II diabetes mellitus, extracapsular cataract extraction and one-day surgery were significantly associated with chronic POE. The combined cataract surgery and male sex were significant risk factors for both acute and chronic POE. A total of 62.51% of all eyes affected by POE received antibiotic treatment and 37.49% had vitrectomy treatment. Conclusions: During the study period, the total incidence of post-operative endophthalmitis after cataract surgery decreased significantly.

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Change in Nationwide Incidence of Post-Cataract Surgery Endophthalmitis: Korean Cohort Study from 2002 to 2013

Abstract: This study revealed the incidence of endophthalmitis decreased during a 12-year period, but remained constant in diabetic patients.

Cited by 8 publications

References 23 publications

Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015

Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010–2015

Acute Infectious Endophthalmitis After Cataract Surgery: Epidemiological Characteristics, Risk Factors and Incidence Trends, 2008–2019

Incidence and Characteristics of Endophthalmitis after Cataract Surgery in Poland, during 2010-2015

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