Comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non-diabetic population
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 Method...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=1;spage=41;epage=44;aulast=Kumar |
| _version_ | 1828282811079983104 |
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| author | M Ashok Kumar Sheen S Kurien Stephen Selvaraj Uma Devi S Selvasundari |
| author_facet | M Ashok Kumar Sheen S Kurien Stephen Selvaraj Uma Devi S Selvasundari |
| author_sort | M Ashok Kumar |
| collection | DOAJ |
| description | 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. |
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| format | Article |
| id | doaj.art-f96381c31d1a41c5803545b8f9e69f18 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-13T08:36:13Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-f96381c31d1a41c5803545b8f9e69f182022-12-22T02:54:07ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892012-01-01601414410.4103/0301-4738.90486Comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non-diabetic populationM Ashok KumarSheen S KurienStephen SelvarajUma DeviS SelvasundariAim : 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.http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=1;spage=41;epage=44;aulast=KumarBand-shaped keratopathycorneal dystrophyphototherapeutic keratectomyphototherapeutic keratectomy with amniotic membrane graftsscarand Salzmann nodular degenerationKaplan Meier survival analysismultivariate Cox Proportional Hazard Regression analysisoptical penetrating keratoplastiesMyopiaphakic refractive intraocular lensrefractive surgery23-Gauge vitrectomyrhegmatogenous retinal detachmentsutureless vitrectomyDeep anterior lamellar keratoplastyendothelial cell densitykeratoconuspenetrating keratoplastyAnterior chamber contaminationcataract surgeryconjunctival floradiabetics |
| spellingShingle | M Ashok Kumar Sheen S Kurien Stephen Selvaraj Uma Devi S Selvasundari Comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non-diabetic population Indian Journal of Ophthalmology 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 |
| title | Comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non-diabetic population |
| title_full | Comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non-diabetic population |
| title_fullStr | Comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non-diabetic population |
| title_full_unstemmed | Comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non-diabetic population |
| title_short | Comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non-diabetic population |
| title_sort | comparison of different techniques of cataract surgery in bacterial contamination of the anterior chamber in diabetic and non diabetic population |
| topic | 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 |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=1;spage=41;epage=44;aulast=Kumar |
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