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  Vol. 109 No. 6, June 1991 TABLE OF CONTENTS
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An Evaluation of Saline Irrigation and Comparison of Povidone-Iodine and Antibiotic in the Surface Decontamination of Donor Eyes

Robert W. Nash, MD; Thomas D. Lindquist, MD, PhD; Robert E. Kalina, MD

Arch Ophthalmol. 1991;109(6):869-872.


Abstract



• We evaluated the effect of saline irrigation on 38 pairs of donor eyes and determined the relative efficacy of antibiotic rinse/storage (neomycin-polymyxin B-gramicidin) and povidone-iodine immersion. Microbial growth was found in 49 (64.5%) of 76 eyes from which cultures were taken before irrigation, and only four (8.2%) became culture negative after irrigation. Of 27 eyes culture negative before irrigation, 15 (55.6%) became positive after irrigation. One eye of each pair was then assigned randomly to antibiotic rinse/storage and the other eye to 3-minute immersion in 1% povidone-iodine. Both antimicrobial treatments decreased the numbers of positive cultures, with povidone-iodine showing an advantage that did not reach significance. These results demonstrate that saline irrigation of donor eyes in situ does not reduce surface contamination and that povidone-iodine immersion should be considered as an alternative for donor eve decontamination.



Author Affiliations



From the Department of Ophthalmology, University of Washington School of Medicine, Seattle.


Footnotes



Accepted for publication February 11, 1991.

Reprint requests to Department of Ophthalmology RJ-10, University of Washington, Seattle, WA 98195 (Dr Lindquist).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Microbial decontamination of human donor eyes with povidone-iodine: penetration, toxicity, and effectiveness
Pels and Vrensen
Br J Ophthalmol 1999;83:1019-1026.
ABSTRACT | FULL TEXT  





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