This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Endophthalmitis Following Inpatient Surgery

Jonathan C. Javitt, MD, MPH; Susan Vitale, MHSc; Joseph K. Canner; Debra A. Street, MPH; Henry Krakauer, MD, PhD; A. Marshall McBean, MD, MSc; Alfred Sommer, MD, MHSc

Arch Ophthalmol. 1991;109(8):1085-1089.

Abstract
• We analyzed the likelihood of rehospitalization for endophthalmitis in 338 141 Medicare beneficiaries over age 65 years who were admitted to US hospitals for cataract extraction in 1984. This cohort represents approximately one half of all persons who underwent cataract extraction under the Medicare program in 1984. Extracapsular extraction was performed in 195 587 (58%) of cases, intracapsular cataract extraction in 99 971 (30%), and phacoemulsification in 28 474 (8%). The risk of rehospitalization for endophthalmitis in the year following surgery was 0.17% for intracapsular cataract extraction compared with 0.12% for extracapsular extraction or phacoemulsification (P<.002). The risk of endophthalmitis at 1 month was higher for intracapsular cataract extraction than for extracapsular extraction or phacoemulsification (0.11% vs 0.085%), although the difference did not reach statistical significance. Cataract surgery accompanied by anterior vitrectomy increased the 1-month risk of rehospitalization for endophthalmitis to 0.41%, more than a four-fold increase over that for cataract surgery alone (0.09%; P<.05). The rates of endophthalmitis at 1 year were 0.58% and 0.13%, respectively, for cataract surgery with anterior vitrectomy and cataract surgery alone (P<.0001). No significant differences in the rate of rehospitalization for endophthalmitis were observed based on the use of an intraocular lens, age, or race. Endophthalmitis within 1 year of surgery was 1.2 times more frequent in men than in women (0.16% vs 0.13%; P =.03). Overall, the likelihood of postoperative endophthalmitis from a national sample is consistent with case series previously reported.

Author Affiliations
From the Worthen Center for Eye Care Research, Center for Sight, Georgetown University Medical Center, Washington, DC (Dr Javitt and Ms Street); the Dana Center for Preventive Ophthalmology, Wilmer Institute and School of Hygiene and Public Health, The Johns Hopkins University Medical Center, Baltimore, Md (Drs Javitt and Sommer, Ms Vitale, and Mr Canner); the Office of Program Assessment, Health Standards Quality Bureau, (Dr Krakauer), and the Office of Research (Dr McBean), Health Care Financing Administration, Baltimore, Md; and The Johns Hopkins University School of Hygiene and Public Health (Dr Sommer).

Footnotes
Accepted for publication April 16, 1991.

Reprint requests to Center for Sight, 3800 Reservoir Rd, Washington, DC 20007 (Dr Javitt).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The pharmacokinetics of linezolid in the non-inflamed human eye
Prydal et al.
Br. J. Ophthalmol. 2005;89:1418-1419.
ABSTRACT | FULL TEXT  

Acute Endophthalmitis Following Cataract Surgery: A Systematic Review of the Literature
Taban et al.
Arch Ophthalmol 2005;123:613-620.
ABSTRACT | FULL TEXT  

Significant Nonsurgical Risk Factors for Endophthalmitis after Cataract Surgery: EPSWA Fourth Report
Li et al.
IOVS 2004;45:1321-1328.
ABSTRACT | FULL TEXT  

Risk factors of acute endophthalmitis after cataract extraction: a case-control study in Asian eyes
Wong and Chee
Br. J. Ophthalmol. 2004;88:29-31.
ABSTRACT | FULL TEXT  

Gemella haemolysans acute postoperative endophthalmitis
Raman et al.
Br. J. Ophthalmol. 2003;87:1192-1193.
FULL TEXT  

Is it time for a new attitude to ""simultaneous"" bilateral cataract surgery?
SMITH and LIU
Br. J. Ophthalmol. 2001;85:1489-1496.
FULL TEXT  

Abiotrophia Species as a Cause of Endophthalmitis Following Cataract Extraction
Namdari et al.
J. Clin. Microbiol. 1999;37:1564-1566.
ABSTRACT | FULL TEXT  

Intraocular lens implants and risk of endophthalmitis
Bainbridge et al.
Br. J. Ophthalmol. 1998;82:1312-1315.
ABSTRACT | FULL TEXT  

Peroperative microbial contamination of anterior chamber aspirates during extracapsular cataract extraction and phacoemulsification
Beigi et al.
Br. J. Ophthalmol. 1997;81:953-955.
ABSTRACT | FULL TEXT  

Diagnostic anterior chamber paracentesis in uveitis: a safe procedure?
Van der Lelij and Rothova
Br. J. Ophthalmol. 1997;81:976-979.
ABSTRACT | FULL TEXT  

Current approach to postoperative endophthalmitis
SUNARIC-MEGEVAND and POURNARAS
Br. J. Ophthalmol. 1997;81:1006-1015.
FULL TEXT  

The treatment of endophthalmitis---still an exercise in frustration
WHITCHER
Br. J. Ophthalmol. 1997;81:713-714.
FULL TEXT  

Postoperative Contamination After Using Vancomycin and Gentamicin During Phacoemulsification
Ferro et al.
Arch Ophthalmol 1997;115:165-170.
ABSTRACT  

Endophthalmitis following cataract extraction: the need for a systematic review of the literature
McCARTY
Br. J. Ophthalmol. 1997;81:97-98.
FULL TEXT  

Risk of endophthalmitis after cataract extraction: results from the International Cataract Surgery Outcomes study
Norregaard et al.
Br. J. Ophthalmol. 1997;81:102-106.
ABSTRACT | FULL TEXT  

Accuracy of Coding in Medicare Part B Claims: Cataract as a Case Study
Javitt et al.
Arch Ophthalmol 1993;111:605-607.
ABSTRACT  

National Outcomes of Penetrating Keratoplasty: Risks of Endophthalmitis and Retinal Detachment
Aiello et al.
Arch Ophthalmol 1993;111:509-513.
ABSTRACT  

Bacterial Endophthalmitis Following Sutureless Cataract Surgery
Miller and Glasgow
Arch Ophthalmol 1993;111:377-379.
ABSTRACT  

Unsuspected Glove Perforation During Ophthalmic Surgery
Miller and Apt
Arch Ophthalmol 1993;111:186-193.
ABSTRACT  

Infectious Endophthalmitis Following Sutureless Cataract Surgery
Williams and Gills
Arch Ophthalmol 1992;110:913-913.
ABSTRACT  

Infectious Endophthalmitis Following Sutureless Cataract Surgery
Stonecipher et al.
Arch Ophthalmol 1991;109:1562-1563.
ABSTRACT