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Perioperative endophthalmitis prevention in cataract surgery in Mazovia and Greater Poland in 2013 and 2014.

Aim
This is the first overview of practice patterns in endophthalmitis prevention after cataract surgery in Poland.


Material and methods
The study is based on a survey carried out in 33 centres performing cataract surgery in two provinces of Poland (a total of 8.8 million inhabitants, i.e. 23% of the entire country population). Approximately 39.000 cataract surgery procedures are performed in these regions annually, i.e. 20% of all cataract surgery procedures in Poland. The questionnaire-based survey focused on the following aspects: duration of preoperative antibiotic treatment, type of antiseptics, intraoperative administration of antibiotics and duration of postoperative antibiotic treatment.


Results
All surveyed centres use povidone-iodine as antiseptic on the periocular skin and conjunctival sac, and perioperative topical antibiotics are adopted by most. Intracameral cefuroxime is increasingly used in endophthalmitis prevention.


Conclusion
The methods of endophthalmitis prevention vary widely between ophthalmology departments and clinics in Poland, there is no scientific rationale for most preventive measures used and a further debate is needed among Polish ophthalmic surgeons on optimal practice patterns.