Antibiótico intracameral para prevenção de endoftalmite aguda pós-cirurgia de catarata no Brasil

Abstract

Acute endophthalmitis is a serious complication of cataract surgery that, given its infectious etiology, can be prevented using antiseptics and antibiotics. Various drugs and different formulations and routes of administration have been tested for this purpose; however, thus far, besides the well-established preoperative topical application of povidone-iodine, the use of intracameral cefuroxime at the end of surgery is the most effective measure to prevent acute endophthalmitis. However, in Brazil, as in the United States, cefuroxime is not available for intraocular use. This necessitates a search for feasible alternatives to reduce the incidence of this serious surgical complication.