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T. Evans, T. Soriano, M. Evans, L. Wu; Seven-Year Incidence of Post-Operative Bacterial Endophthalmitis in a Costa Rican Teaching Hospital. Invest. Ophthalmol. Vis. Sci. 2008;49(13):968. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
To report the incidence of post-operative bacterial endophthalmitis (POBE) before and after the transition from extracapsular cataract extraction (ECCE) to phacoemulsification (PE) in a Costa Rican teaching hospital.
Retrospective chart review of all patients that presented with bacterial endophthalmitis following caratact surgery during the years of 2000 and 2006.
In 2000 ECCE accounted for 96.85% (n=645) of all cataract surgeries and the incidence of POBE was 0.16%. There were no cases of POBE in the remaining PE patients. During 2001 the percentage of patients that underwent PE rose to 12.84% (n=90) and was associated with an incidence of 1.11% of POBE. The incidence of POBE following ECCE remained stable at 0.16%. In 2002, 78.01% (n=589) of all cataract surgeries were performed by PE, 0.85% of the PE patients and 0% of the ECCE were affected by POBE. In 2003, 80.93% (n=573) of all cataract surgeries were performed with PE with an incidence of 0.52% of POBE. There were no POBE cases associated with ECCE. Between 2004 and 2006, 80.41% (n=516.33) of all cataract patients underwent PE with an incidence of POBE ranging between 0 and 0.27%.
The transition from ECCE to PE in a Costa Rican teaching hospital was associated with a higher incidence of POBE during the first three years. Afterwards the incidence of POBE is comparable to those reported in developed countries.
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