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How do you decide when to give or defer intracameral antibiotics for endophthalmitis prophylaxis during routine cataract surgery?

Community PollStarted

What percent of routine cataract surgeries are you administering intracameral antibiotics?

73 physicians have voted

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2 Answers
Mednet MemberInvited Expert
Ophthalmology · University of Colorado
Answered on

I give intracameral antibiotics at the conclusion of all my cataract surgeries, and this practice is heavily supported by evidence.

In particular, I use non-diluted moxifloxacin 0.05-0.1 cc, from a Vigamox brand bottle or a bottle of generic moxifloxacin from a few select manufacturers that are known to not have any additional harmful/TASS-associated additives or pH imbalances. For my practice, the ease of acquisition of this trumps the commercially available cefuroxime products or compounded dilute moxi products. The biggest risk with any of these, in my mind, is improper dilution or additives that can cause TASS, and less commonly things like Bilateral Acute Iris Transillumination (BAIT)

There is no evidence that pre- or post-op topical ant...

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Mednet Member
Ophthalmology · Boston University Eye Associates
Answered on

It is useful to see the practice patterns.

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