Commentary: Role of antibiotics in cataract surgery

Commentary: Intracameral antibiotic reduces the risk of post-cataract surgery endophthalmitis but does not eliminate it

“…There are also various concerns regarding the routine use of intracameral antibiotics like commercial availability of formulations, dilution errors, emergence of drug resistance, safety (like hemorrhagic occlusive retinal vasculitis with vancomycin, macular edema, and retinal infarction due to cefuroxime), risk of anaphylaxis, toxic anterior segment syndrome and cost. [ 4 ]…”

“…[ 11 ] Hence, we feel that strict pre-operative asepsis including use of 5% povidone-iodine over the conjunctival sac area along with aseptic measures during surgery and postoperative antibiotics play an indispensable role in preventing ocular infections. [ 4 13 ] Intracameral antibiotics can also be best avoided in such a aseptic setting, in an uncomplicated cataract surgery.…”