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Beitragstitel A retrospective comparison of different intra- and postoperative treatment regimes to prevent infections after surgical correction of strabismus.
Beitragscode P07
Autor:innen
  1. Daniel Felber Universitätsspital Augenklinik Basel Präsentierende:r
  2. Anja Palmowski-Wolfe University Hospital Basel
  3. Françoise Roulez Department of Ophthalmology, University Hospital of Basel, Switzerland.
Präsentationsform ePoster
Themengebiete
  • Neuroophthalmology / Strabology
Abstract-Text Purpose
As studies have shown postsurgical polyvidone-iodine to be equal to postsurgical topical antibiotics we changed our care regime a few years ago. In order to promote and establish better patientcare, we now retrospectively analysed the files of our patients who underwent strabismus surgery to compare the influence of the postsurgical infection rate of these different regimes in a routine clinical setting.
Methods
In this retrospective and explorative study which was approved by the regional ethics committee, data from 40 patients who had undergone strabismus surgery (Group I: 20 with postsurgical topical Gentamicin immediately postoperatively and in the week following surgery; Group II: 20 with polyvidone iodine immediately postsurgical) was extracted from the files. We compared the efficiency of polyvidone-iodine given at the end of strabismus surgery to antibiotics given locally in the postoperative period to prevent post-surgical bacterial conjunctival infections as defined by purulent conjunctival secretion. Secondary parameters noted were conjunctival swelling and redness as well as other complications.
Results
Mean age of Group I was 49 years. This compared to a mean age of 44 years in group II. There was no case of purulent conjunctival secretion in either group. On the first postoperative day, Group I had 9 patients with swelling and redness of the conjunctiva, 1 with a Fuchs’ Delle and 1 with a positive Tyndall sign. This compared to 9 patients with conjunctival swelling and redness in Group II. At the one week follow up 9 patients of Group I and 8 of Group II had conjunctival swelling or redness. At the 3 month follow up, those visual signs were only seen in one patient in either group. There were 2 reoperations and 7 patients with systemic illness in both groups.
Conclusion
The use of polyvidone-iodine did not result any bacterial infections, just as when topical Gentamicin was given. Thus topical polyvidone-iodine is a good alternative to topical usage of antibiotics after strabismus surgery with the added benefit of no risk of creating bacterial resistance to antibiotics. In addition, the postoperative healing period was comparable between the two groups. To further solidify our results more patients need to be included.