Abstract
Background: The assessment of the incidence and characteristic of acute and chronic postoperative endophthalmitis (POE) after cataract surgery in Poland during 2010–2015. Patients and methods: All hospitalizations of patients, in the National Database of Hospitalizations, who underwent cataract surgery alone or in combined procedures in Poland between January 2010 and December 2015, with a billing code of endophthalmitis, were selected. Acute endophthalmitis was identified if symptoms occurred within 1–42 days from the cataract surgery and chronic endophthalmitis if symptoms occurred ≥43 days after cataract surgery, respectively. Results: In total, 1331 cases of POE after 1,218,777 cataract extractions were identified. The overall incidence of POE decreased from 0.125% in 2010 to 0.066% in 2015. In multiple logistic regression analyses, increasing age was significantly associated with acute POE, while type II diabetes mellitus, extracapsular cataract extraction, and one-day surgery were significantly associated with chronic POE. The combined cataract surgery and male sex were significant risk factors for both acute and chronic POE. A total of 62.51% of all eyes affected by POE received antibiotic treatment and 37.49% had vitrectomy treatment. Conclusions: During the study period, the total incidence of postoperative endophthalmitis after cataract surgery decreased significantly.
Highlights
Postoperative endophthalmitis is a serious complication of cataract surgery, with the incidence varying from 0.02% to 0.71% according to recent studies
The following NFZ codes were used: B12–B15, B18, and B19 with regard to cataract surgery alone; B04–B06 with regard to cataract surgery combined with corneal transplantations; B11 with regard to cataract surgery followed by glaucoma filtration surgery; B16 and B17 with regard to cataract surgery combined with vitrectomy.”
Cataract surgery and postoperative endophthalmitis: Table 1 shows the total number of postoperative endophthalmitis (POE) cases and the total number of all cataract surgeries performed in Poland alone or as combined procedures with vitrectomy, glaucoma filtration surgery, and corneal transplantation, between January 2010 and December 2015, matched with population data by age group
Summary
Postoperative endophthalmitis is a serious complication of cataract surgery, with the incidence varying from 0.02% to 0.71% according to recent studies. These studies revealed a significant decline in the incidence of postoperative endophthalmitis in the twenty-first century [1,2]. The assessment of the incidence and characteristic of acute and chronic postoperative endophthalmitis (POE) after cataract surgery in Poland during 2010–2015. Acute endophthalmitis was identified if symptoms occurred within 1–42 days from the cataract surgery and chronic endophthalmitis if symptoms occurred ≥43 days after cataract surgery, respectively. Results: In total, 1331 cases of POE after 1,218,777 cataract extractions were identified. The combined cataract surgery and male sex were significant risk factors for both acute and chronic POE.
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