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Preventing endophthalmitis after cataract surgeries
  1. Luciano Porto Bellini,
  2. Guilherme Müller Martins,
  3. Mário Cesar Bulla
  1. Centro de Excelência em Oftalmologia de Porto Alegre, Porto Alegre, Brazil
  1. Correspondence to Luciano Porto Bellini, R. Vitor Meireles, 211/701, Porto Alegre 90430-160, Brazil; lucianopbellini{at}yahoo.com.br

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We congratulate Murjaneh et al for addressing the use of intraoperative antibiotics for prophylaxis against postoperative endophthalmitis.1 Worldwide, there are significant regional variances in the method of prophylactic antibacterial regimens; for example, topical fluoroquinolones are commonly used in the USA, while intracameral cephalosporins are employed widely in Europe.2

In order to provide more data for this discussion, we present the statistics from our private clinical practice, since we have used the same routine for endophthalmitis prevention in our cataract surgeries in the last 5 years.

Our routine consists of topical ocular administration of a fourth-generation fluoroquinolone, four times a day, initiating 1 day before the surgery and maintaining in the operative day. After the surgery, the fourth-generation fluoroquinolone is administered …

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