Safety of prophylactic intracameral moxifloxacin ophthalmic solution after cataract surgery in patients with penetrating keratoplasty

<b>AIM:</b>To determine the safety of prophylactic intracameral moxifloxacin after cataract surgery in patients with penetrating keratoplasty (PKP).<b>METHODS:</b>In this retrospective study of consecutive patients who had phacoemulsification cataract surgery after PKP, were...

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Bibliographic Details
Main Authors: Osman Sevki Arslan, Ceyhun Arici, Mustafa Unal, Erdogan Cicik, Mehmet Serhat Mangan, Eray Atalay
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2014-10-01
Series:International Journal of Ophthalmology
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Online Access:http://www.ijo.cn/en_publish/2014/5/20140510.pdf
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Summary:<b>AIM:</b>To determine the safety of prophylactic intracameral moxifloxacin after cataract surgery in patients with penetrating keratoplasty (PKP).<b>METHODS:</b>In this retrospective study of consecutive patients who had phacoemulsification cataract surgery after PKP, were treated with intracameral moxifloxacin 0.5% ophthalmic solution (0.5 mg/0.1 mL). The main outcome measures were anterior chamber reaction, best corrected visual acuity (BCVA), corneal endothelial cell count (ECC), and central corneal thickness (CCT).<b>RESULTS:</b>Fifty-five patients were recruited (26 males, 29 females). The mean age was 54.36±4.97y (range 45-64y). All eyes had improved postoperative BCVA. The mean BCVA was 0.25 preoperatively and 0.57 postoperatively, which was statistically significant (<i>P&lt;</i>0.001). One eye had 3+, 7 eyes had 2+, 12 eyes had 1+ and 8 eyes had trace amount of aqueous cells on the first day after surgery. All eyes had no anterior chamber cells at subsequent follow up examinations. Effective phacoemulsification time was 4.33±1.01s. The mean ECC was 2340.20 cells/mm<sup>2</sup> preoperatively and 1948.75 cells/mm<sup>2</sup> 1mo postoperatively (<i>P&lt;</i>0.001). The increase of 21.09 µm in postoperative pachymetry 1mo after surgery was statistically significant (<i>P&lt;</i>0.001).<b>CONCLUSION:</b> No untoward effects were observed after intracameral injection of moxifloxacin (0.5 mg/0.1 mL) in terms of anterior chamber reaction, CCT, ECC, and visual rehabilitation at the conclusion of cataract surgery in patients with PKP.
ISSN:2222-3959
2227-4898