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Comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non-diabetic population
- Source :
- Indian Journal of Ophthalmology, Vol 60, Iss 1, Pp 41-44 (2012)
- Publication Year :
- 2012
- Publisher :
- Wolters Kluwer Medknow Publications, 2012.
-
Abstract
- Aim : To compare the bacterial contamination of the anterior chamber (AC) between manual small incision cataract surgery (SICS) and phacoemulsification (Phaco). To study the conjunctival flora and bacterial contamination of AC between well-controlled diabetics and non-diabetics. Materials and Methods : Three hundred and sixty-eight patients were randomized to manual SICS and Phaco. Sixty-eight patients were excluded for not completing follow-up or for intraoperative complications like posterior capsule rupture. One hundred and fifty patients in each group were finally analyzed. Conjunctival swabs were taken on admission, after one day of topical ofloxacin and 15 min after 5% Povidone Iodine (PI) instillation. AC aspirate at the end of the surgery was also cultured. Results : Fifty-six (18.66%) patients had positive conjunctival swab on admission which was reduced to 19 (6.33%) with topical ofloxacin and to five (1.66%) with instillation of 5% PI. AC contamination in both manual SICS and Phaco was 0.66%. The conjunctival flora in diabetics was similar to non-diabetics. None of the diabetics had AC contamination. Statistical analysis was performed by Chi-Square test (with Yates′ correction). Conclusion : Statistically significant reduction in conjunctival flora was achieved with topical ofloxacin and 5% PI instillation and AC contamination in both manual SICS and Phaco was minimal (0.66%). Well-controlled diabetics who underwent cataract surgery in this study had similar conjunctival flora and AC contamination as non-diabetics.
- Subjects :
- Band-shaped keratopathy
corneal dystrophy
phototherapeutic keratectomy
phototherapeutic keratectomy with amniotic membrane grafts
scar
and Salzmann nodular degeneration
Kaplan Meier survival analysis
multivariate Cox Proportional Hazard Regression analysis
optical penetrating keratoplasties
Myopia
phakic refractive intraocular lens
refractive surgery
23-Gauge vitrectomy
rhegmatogenous retinal detachment
sutureless vitrectomy
Deep anterior lamellar keratoplasty
endothelial cell density
keratoconus
penetrating keratoplasty
Anterior chamber contamination
cataract surgery
conjunctival flora
diabetics
Ophthalmology
RE1-994
Subjects
Details
- Language :
- English
- ISSN :
- 03014738 and 19983689
- Volume :
- 60
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Indian Journal of Ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.f96381c31d1a41c5803545b8f9e69f18
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/0301-4738.90486