KMID : 0360220120530050647
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Journal of the Korean Ophthalmological Society 2012 Volume.53 No. 5 p.647 ~ p.651
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Use of Prophylactic Antibiotics in Glaucoma Surgery: A Single Center¡¯s Experience
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Lee Jin-Young
Sung Kyung-Rim Na Jung-Hwa Lee Young-Rok
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Abstract
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Purpose: To evaluate the use of prophylactic antibiotics in glaucoma surgery and the prevalence of postoperative
endophthalmitis.
Methods: Retrospective medical record review was performed on 136 eyes which underwent glaucoma operation by one surgeon from March 2008 to February 2010 and were followed at least till 6 months postoperatively (glaucoma drainage device implantation; 95 eyes, trabeculectomy; 41 eyes).
Results: For intravenous antibiotics injection, 10 eyes used 3rd generation cephalosporin, 54 eyes used 4-fluoroquinolone, 72 eyes used 2nd generation cephalosporin. For oral antibiotics, 125 eyes used 3rd generation cephalosporin, 1 case used 4-fluoroquinolone, and other 10 cases did not use oral antibiotics after the surgery. Total period of systemic antibiotics use showed various distributions with 14 eyes more than 5 days, 115 eyes 4-5 days, and 8 cases less than 4 days. Six eye which used 4-fluoroquinolone and 3 eyes which used cephalosporin showed side effect such as skin lesion and nausea. There has been no single occurrence of endophthalmitis.
Conclusions: Various kinds of prophylactic antibiotics were used for glaucoma surgery and the period of antibiotics use was different among patients. However, there has been no single occurrence of endophthalmitis till 6 months postoperative follow up.
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KEYWORD
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Antibiotics, Endophthalmitis, Glaucoma surgery
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