Dk. Chitkara et al., LACK OF EFFECT OF PREOPERATIVE NORFLOXACIN ON BACTERIAL-CONTAMINATIONOF ANTERIOR-CHAMBER ASPIRATES AFTER CATARACT-SURGERY, British journal of ophthalmology, 78(10), 1994, pp. 772-774
Eighty patients undergoing routine standardised extracapsular cataract
surgery with lens implantation were divided randomly into two groups
in a prospective double blind study comparing effects of preoperative
norfloxacin eyedrops with placebo on bacterial contamination of anteri
or chamber aspirates after surgery. Pathogenic organisms were identifi
ed from 19 (24%) of the aspirates. The most commonly isolated organism
s were coagulase negative Staphylococcus species. There was no statist
ical difference between the norfloxacin treated and placebo groups. Th
is study demonstrates that routine use of topical preoperative antibio
tics to eliminate the entry of bacteria into the eye during surgery is
debatable.