Jp. Adenis et Py. Robert, LOCAL ANTIMICROBIAL PROPHYLAXIS IN CATARACT-SURGERY - RECENT CONTROVERSIES AND CLINICAL GUIDELINES, Ophthalmologica, 211, 1997, pp. 77-80
The best prevention of endophthamitis is the use of strict surgical hy
giene. Supplementing the irrigating solution with aminoglycosides and/
or vancomycin is a rational, convenient and cost effective method of a
ntimicrobial prophylaxis. However emerging resistance to vancomycin en
tails restrictions to its daily use. In conclusion, two options are po
ssible: limit the use of prophylaxis in the irrigating solution to onl
y those patients at high risk of injection, or use topical and general
antibioprophylaxis with low cost drugs.