Publications by authors named "R J Wubbels"
Importance: Although the effectiveness of intracameral antibiotics to prevent postoperative endophthalmitis is described, selective use of antibiotics combined with 1% povidone iodine disinfection might be equally effective and could lead to cost reduction and avoidance of unnecessary use of antibiotics.
Objective: To compare the incidence of postoperative endophthalmitis when 1% povidone iodine disinfection is applied in combination with selective intracameral antibiotics with the incidence after routine use of intracameral antibiotics in combination with 5% povidone iodine.
Design, Setting, And Participant: This was a retrospective cohort study using incidence data from the ongoing endophthalmitis register of the Rotterdam Eye Hospital, a specialized hospital providing both secondary and tertiary ophthalmological care, when intracameral antibiotics were used only during cataract procedures with occurrence of a posterior capsular tear in comparison with results from cohorts described in the literature where routine antibiotics were used.
Donor lamella thickness after ultrathin Descemet stripping automated endothelial keratoplasty and its relation to postoperative visual acuity and pre-operative lamella measures.
BMC Ophthalmol
June 2023
Background: To accurately measure ultrathin Descemet stripping automated endothelial keratoplasty (DSAEK) donor lamella thickness during the first postoperative year and to correlate this with pre-operative and other postoperative measurements.
Methods: Donor lamella thickness in 41 eyes undergoing DSAEK for Fuchs endothelial dystrophy (FED) was measured using the Tomey Casia OCT directly after graft preparation and at 1 week and 1, 3, 6 and 12 months postoperatively. Visual acuity and endothelial cell density were measured as the secondary parameters.
Article Synopsis
- The study aimed to confirm the prevalence of unremoved vitreous cortex remnants (pVCR) during surgery for retinal detachment and its link to complications like proliferative vitreoretinopathy (PVR) and surgical failure.
- Researchers conducted a prospective study on 100 patients undergoing vitrectomy and found that 36% had pVCR, which were associated with a higher failure rate in surgeries.
- The results indicated that surgical failure was more common in patients with pVCR that were not completely removed, highlighting the need for further research on the best practices for managing these remnants.