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We would like to thank Bellini et al for their letter and also congratulate them on their very low endophthalmitis rate. We would, however, like to reiterate that the European Society of Cataract and Refractive Surgeons (ESCRS) study on prophylaxis of postoperative endophthalmitis after cataract surgery1 currently represents the largest evidence base for this issue. This partially masked randomised placebo-controlled multinational clinical study sought to evaluate prospectively the prophylactic effect of intracameral cefuroxime injection and/or perioperative levofloxacin (third-generation fluoroquinolone) eye-drops on the incidence of endophthalmitis after phacoemulsification cataract surgery. This study, which involved 13 698 patients, …
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