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2014, Number 3

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Rev Cub Oftal 2014; 27 (3)

Risk factors for postsurgical endophthalmitis in the cataract surgery

Hernández LI, Arronte AMT, Cruz ID, Cárdenas DT, Miranda HI, Guerra AM

Language: Spanish
References: 25
Page: 322-331
PDF size: 150.18 Kb.


ABSTRACT

Objective: to identify the risk factors associated to endophthalmitis after cataract surgery.
Methods: case-control analytical observational and retrospective study conducted from January 2011 through December 2013, which included those patients operated on for cataract. The final sample was made up of 33 cases who suffered postsurgery endophthalmitis and 65 patients were included as controls. The information was collected from surgical traceability sheets and from the infected case forms at "Ramon Pando Ferrer" Cuban Institute of Ophthalmology.
Results: males were at greater risk for the disease than females (p= 0,014; OR= 2,91). The surgery performed at summer time increased the risk of suffering endophthalmitis (p= 0,000; OR= 9,91) as well as a surgical volume over 10 cases per surgical position (p= 0,000; OR= 27,8). The posterior capsule rupture was the major risk (p= 0,016; OR=7,00). Blumenthal technique resulted in greater risk for endophthalmitis than the phaco technique (p= 0,008; OR= 3,60). Other variables such as age, diabetes mellitus and surgical time, which were remarkable in other case series, had no statistical significance in this study.
Conclusions: males, the high climate and the Blumenthal technique represent a greater risk in the apparition of the postsurgery endophthalmitis.


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