In contrast, combined surgery in which phacoemulsification was

Is combined cataract surgery associated with acute postoperative endophthalmitis

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Jump to comment:RE:? A nationwide study from 2005 canada goose parka outlet to 2014

R. Rishi Gupta, Mark canada goose outlet london uk E. Seamone, Marcelo Nicolela, Jayme R. Vianna and Daniel M. O’Brien

Published on: 14 July 2018

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Canada Goose Jackets RE:? A nationwide study from 2005 to 2014 Canada Goose Jackets

canada goose uk outlet R. Rishi Gupta, Ophthalmologist Dalhousie University, Halifax, NS, Canada canada goose uk outlet

Jayme R. Vianna, Ophthalmologist

Daniel M. O’Brien, Ophthalmologist

We read with interest the article written by Creuzot Garcher and colleagues canada goose outlet new york city that was published in the June 2018 issue of your journal. They reported an incidence of acute POE in stand alone phacoemulsification of 0.102% over this 11 canada goose outlet edmonton year period. In canada goose outlet contrast, combined surgery in which phacoemulsification was performed with another intraocular procedure had an overall higher incidence of 0.149%. The incidence of acute POE in combined phacoemulsification and glaucoma surgery, corneal surgery, and vitreoretinal surgery was found to be 0.089%, 0.142%, and 0.223% respectively.

canadian goose jacket As Creuzot Garcher and colleagues mention, many phakic patients who undergo either glaucoma surgery, canada goose outlet in montreal corneal surgery, or vitreoretinal surgery, are elderly and likely will require cataract extraction at some point.1 In addition, it is well established that these surgeries promote cataract formation in phakic eyes, and therefore patients who do not undergo combination surgery will likely require stand alone cataract surgery in the future. canadian goose jacket

Hence, it would be instructive to compare the risk of acute POE in combined surgery with the total risk conferred by separately canada goose outlet legit performing the two surgeries. We made the assumption that the chance of endophthalmitis in each surgery is independent. Using the.

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uk canada goose We read with interest the article written by Creuzot Garcher and colleagues that was published in the June 2018 issue of your journal. They reported an incidence of acute POE in stand alone phacoemulsification of 0.102% over this 11 year period. In contrast, combined surgery in which phacoemulsification was performed with another intraocular procedure had an overall higher incidence of 0.149%. The incidence of acute POE in combined phacoemulsification and glaucoma surgery, corneal surgery, and vitreoretinal surgery was found to be 0.089%, 0.142%, and 0.223% respectively. uk canada goose

As Creuzot Garcher and colleagues mention, many phakic patients who undergo either glaucoma surgery, corneal surgery, or vitreoretinal surgery, are elderly and likely will require cataract extraction at some point.1 In addition, it is well established that these surgeries promote cataract formation in phakic eyes, and therefore patients who do not undergo combination surgery will likely https://canadagooseoutlet.dolabuy.com require stand alone cataract surgery in the future.

Hence, it would be instructive to compare the risk of acute POE in combined surgery with the total risk conferred by separately performing the two surgeries. We made the assumption that the chance of endophthalmitis in each surgery is independent. Using the data presented by Creuzot canada goose jacket outlet Garcher, we found the following:

(i)In the scenario where glaucoma surgery is performed and, at a separate date cataract surgery is done, the total risk of developing acute POE would be 0.171%. This is higher than the risk of 0.089% in combined surgery quoted canada goose outlet houston in the article.

canada goose store (ii)In the scenario where corneal surgery is performed and, at a separate date cataract surgery is done, the total risk of developing acute POE would be 0.236%. This is higher than the risk of 0.142% in combined surgery quoted in the article. canada goose store

(iii)In the scenario where vitreoretinal surgery is performed and, at a separate date cataract surgery is done, the total risk of developing acute POE would be 0.292%. This is higher than the risk of 0.223% in combined surgery.

Canada Goose online Hence, while combined surgery may be associated with a higher incidence of acute POE as compared to a stand alone procedure, multiple surgeries on the same eye but performed at different sittings may yield an overall higher risk. This information should be taken into consideration when planning surgery in phakic eyes Canada Goose online.