Incidence of endophthalmitis post cactaract surgery in a tertiary hospital of Buenos Aires

SEGRETIN GUTIERREZ, ELIANA; GARCIA, M; BURSZTYN, M; BENAVENTE DEFERRARI, MERCEDES; ORTIZ-BASSO, TOMÁS

MEDICINA (BUENOS AIRES)

MEDICINA (BUENOS AIRES)

Año: 2022

0025-7680

Objective: Acknowledging the rates of endophthalmitis after cataract surgery is very important tounderstand the seriousness of the disease. Until now, there is no data of this situation in Argentina.The aim of this study was to estimate the incidence of postoperative endophthalmitis after cataract surgery ata tertiary hospital, a medical facility which provides a high degree of subspecialty expertise, in Buenos Aires,Argentina. Method: Retrospective cohort study of adult patients who underwent cataract phacoemulsification sur-gery between 2006 and 2020 at Hospital Italiano de Buenos Aires, was performed. Patients with endophthalmitisdiagnosis within the first 6 weeks after surgery were included. Those who underwent extracapsular surgery orcombined surgeries were excluded. Results: A total of 29 326 cataract surgeries were performed in ten years. Theannual incidence of acute postoperative endophthalmitis after cataract surgery was 0.102% (95% CI 0.069-0.146).Thirty cases of endophthalmitis were diagnosed. The main microorganism was Pseudomonas aeruginosa (45.4%). Finalvisual acuity was higher than 0.3 (LogMAR) in 46.6% of the patients. Conclusion: The incidence of endophthalmitisafter cataract surgery in this hospital is within the range reported globally. Knowing the regional incidence contributesto decide if new prophylaxis measures are necessary.