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Postoperative endophthalmitis (POE) is a serious complication after cataract surgery. The rate of endophthalmitis was reported in the British Ophthalmological Surveillance Unit (BOSU) study as 1/700 (0.14%) cataract operations.1 With regard to the peri-operative use of antibiotics, the BOSU recommended the use of subconjunctival cefuroxime.2 A Swedish national prospective survey reported POE in 0.053% of units that used intracameral antibiotics as a standard protocol. Of these units, 98.5% used intracameral cefuroxime.3
The European Society of Cataract and Refractive Surgeons (ESCRS) Endophthalmitis Study Group recommended the use of intracameral cefuroxime in 1 mg/0.1 ml normal saline and reported a POE rate of 0.06% in patients who had intracameral cefuroxime.4 The Royal College of Ophthalmologists professional guidance, updated June 2007, recommended considering the use of intracameral cefuroxime.
Three years following the ESCRS recommendations, we conducted a national survey to identify the level of application of ESCRS recommendations …