National outcomes of cataract extraction. Endophthalmitis following inpatient surgery
J. C. Javitt, S. Vitale, J. K. Canner, D. A. Street, H. Krakauer, A. M. McBean and A. Sommer
Worthen Center for Eye Care Research, Georgetown University Medical Center, Washington, DC.
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 less than .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 less than
.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 less than .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.
The pharmacokinetics of linezolid in the non-inflamed human eye
Prydal et al.
Br. J. Ophthalmol. 2005;89:1418-1419.
ABSTRACT
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Acute Endophthalmitis Following Cataract Surgery: A Systematic Review of the Literature
Taban et al.
Arch Ophthalmol 2005;123:613-620.
ABSTRACT
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Significant Nonsurgical Risk Factors for Endophthalmitis after Cataract Surgery: EPSWA Fourth Report
Li et al.
IOVS 2004;45:1321-1328.
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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.
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Gemella haemolysans acute postoperative endophthalmitis
Raman et al.
Br. J. Ophthalmol. 2003;87:1192-1193.
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Is it time for a new attitude to ""simultaneous"" bilateral cataract surgery?
SMITH and LIU
Br. J. Ophthalmol. 2001;85:1489-1496.
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Abiotrophia Species as a Cause of Endophthalmitis Following Cataract Extraction
Namdari et al.
J. Clin. Microbiol. 1999;37:1564-1566.
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Intraocular lens implants and risk of endophthalmitis
Bainbridge et al.
Br. J. Ophthalmol. 1998;82:1312-1315.
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Peroperative microbial contamination of anterior chamber aspirates during extracapsular cataract extraction and phacoemulsification
Beigi et al.
Br. J. Ophthalmol. 1997;81:953-955.
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Diagnostic anterior chamber paracentesis in uveitis: a safe procedure?
Van der Lelij and Rothova
Br. J. Ophthalmol. 1997;81:976-979.
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Current approach to postoperative endophthalmitis
SUNARIC-MEGEVAND and POURNARAS
Br. J. Ophthalmol. 1997;81:1006-1015.
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The treatment of endophthalmitis---still an exercise in frustration
WHITCHER
Br. J. Ophthalmol. 1997;81:713-714.
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Endophthalmitis following cataract extraction: the need for a systematic review of the literature
McCARTY
Br. J. Ophthalmol. 1997;81:97-98.
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Risk of endophthalmitis after cataract extraction: results from the International Cataract Surgery Outcomes study
Norregaard et al.
Br. J. Ophthalmol. 1997;81:102-106.
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