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Changes in rates of endophthalmitis after cataract surgery over the last 23years.

J Fr Ophtalmol

December 2024

Quinze-Vingts National Ophthalmology Hospital, IHU FOReSIGHT, 28, rue de Charenton, 75012 Paris, France; Sorbonne Université, Inserm, CNRS, Institut de la Vision, IHU FOReSIGHT, 17, rue Moreau, 75012 Paris, France.

Purpose: Acute postoperative endophthalmitis (APE) is a rare but severe complication of cataract surgery. During the most recent decades, the use of povidone-iodine (PVI) before surgery combined with intracameral cefuroxime has drastically reduced the incidence of endophthalmitis. The goal of this study is to describe the changes in endophthalmitis rates after cataract surgery over the past two decades in a large tertiary ophthalmology center.

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Purpose: To compare pupil dynamics after using premixed intracameral anesthetic mydriatic combination (ICAM) of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) versus topical mydriatic (TM) drops consisting of tropicamide 0.

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Cardiovascular effects of diluted intracameral combination of 0.02% tropicamide, 0.31% phenylephrine, and 1% lidocaine during phacoemulsification to manage intraoperative miosis.

Taiwan J Ophthalmol

December 2023

Department of Para Medical Sciences (Optometry), Shree Guru Gobind Singh Tricentenary University Budhera Gurugram Haryana India and Department of Ophthalmology, Mojiram Lions Eye Hospital Akbarpur Majra Delhi India, India.

Purpose: Intracameral mydriatic agents (ICMAs) are replacing the conventional method of topical mydriasis for its fast action and no need for repeated instillation before cataract surgery. Its application for the management of intraoperative miosis needs to be studied with different doses of mydriatic agent. The objective of the study is to study cardiovascular effects of diluted intracameral combination of 0.

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Purpose: To study the pupil dynamics with premixed intracameral anesthetic mydriatic combination of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) in pediatric cataract surgery.

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Article Synopsis
  • A 54-year-old man experienced acute bilateral outer retinopathy after undergoing clear lens extraction for presbyopia, which resulted in rapid vision loss in both eyes.
  • Imaging revealed severe outer retinopathy, leading to total light perception loss, but intravenous corticosteroid treatment helped recover some central vision.
  • The case suggests a potential link between cataract surgery and autoimmune reactions or toxic responses, highlighting the need for awareness of rare but serious complications post-surgery.
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