Incidence of endophthalmitis and the perioperative practices of cataract surgery in Japan: Japanese Prospective Multicenter Study for Postoperative Endophthalmitis after Cataract Surgery
Purpose To prospectively survey the incidence of endophthalmitis following cataract surgery and investigate the current perioperative practices in Japan. Methods Patients who underwent cataract surgery from January 2012 to December 2013 were included. Information on perioperative practices were reco...
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| Veröffentlicht in: | Japanese journal of ophthalmology 2018, Vol.62 (1), p.24-30 |
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| creator | Inoue, Tomoyuki Uno, Toshihiko Usui, Norio Kobayakawa, Shinichiro Ichihara, Kiyoshi Ohashi, Yuichi |
| description | Purpose
To prospectively survey the incidence of endophthalmitis following cataract surgery and investigate the current perioperative practices in Japan.
Methods
Patients who underwent cataract surgery from January 2012 to December 2013 were included. Information on perioperative practices were recorded prospectively. Clinical characteristics were examined in cases with endophthalmitis.
Results
A total of 63,244 patients who underwent cataract surgery in 205 facilities were enrolled. The detailed information about the current perioperative scenario surrounding cataract surgery in Japan was evaluated for the preoperative, intraoperative, and postoperative practices, i.e., patient background, prophylactic antibiotic regimen, modes of disinfection or disinfectant use, preoperative procedure, surgical method, surgical materials, surgical complication, or others. Postoperative endophthalmitis developed in 25 patients within 8 weeks postoperatively (incidence 0.04%). However, since outbreaks of toxic anterior segment syndrome (TASS) after implantation of intraocular lenses contaminated with aluminum (HOYA iSert 251 and 255) were reported, 10,261 cases implanted with the lenses had been excluded (as having a risk for non-infectious late-onset TASS). In the remaining 52,983 cases, postoperative endophthalmitis developed in 13 cases within 8 weeks postoperatively (incidence 0.025%).
Conclusions
This prospective survey identified the current perioperative practices representing cataract surgery and the incidence of endophthalmitis following cataract surgery (0.025%) in Japan. We believe this information can serve as a guide for future improvement in risk-reduction strategies. |
| doi_str_mv | 10.1007/s10384-017-0545-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1959324977</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1959324977</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-889b03bc951f87247050d14968d234bb679f1df1ce0f4b14c929ce4bea5ffc433</originalsourceid><addsrcrecordid>eNp1kc1u1TAQhS0EopfCA7BBltiwCfVvErNDVwWKilqpsLYcZ8x1lRsH26l0X42nw2laqCqx8cjyd-aM5yD0mpL3lJDmJFHCW1ER2lREClnVT9CG1pRXjIn6KdoQwmglqZRH6EVK14QQwTh7jo6YIkpw1m7Q77PR-h5GCzg4DGMfpl3emWHvs0_YjD3OO8ATRB_KYbK_KbdobPYW0iKxJpvljtMcf0I8YD_ir2Yy44e1QAJ8GUOawN6Kv83Doh0zRHyV5_6AXYj4MqT8z-D08Rhuobf3Tler00v0zJkhwau7eox-fDr9vv1SnV98Ptt-PK8sV3Wu2lZ1hHdWSerahomGSNJToeq2Z1x0Xd0oR3tHLRAnOiqsYsqC6MBI56zg_Bi9W_tOMfyaIWW998nCMJTPhTlpqqTiTKimKejbR-h1mONYpitUK4pVw2Wh6ErZspcUwekp-r2JB02JXoLVa7C6BKuXYHVdNG_uOs_dHvq_ivskC8BWIJWnsezngfV_u_4BByiypw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1984679735</pqid></control><display><type>article</type><title>Incidence of endophthalmitis and the perioperative practices of cataract surgery in Japan: Japanese Prospective Multicenter Study for Postoperative Endophthalmitis after Cataract Surgery</title><source>SpringerLink Journals - AutoHoldings</source><creator>Inoue, Tomoyuki ; Uno, Toshihiko ; Usui, Norio ; Kobayakawa, Shinichiro ; Ichihara, Kiyoshi ; Ohashi, Yuichi</creator><creatorcontrib>Inoue, Tomoyuki ; Uno, Toshihiko ; Usui, Norio ; Kobayakawa, Shinichiro ; Ichihara, Kiyoshi ; Ohashi, Yuichi ; Japanese Prospective Multicenter Study Group for Postoperative Endophthalmitis after Cataract Surgery ; On behalf of the Japanese Prospective Multicenter Study Group for Postoperative Endophthalmitis after Cataract Surgery</creatorcontrib><description>Purpose
To prospectively survey the incidence of endophthalmitis following cataract surgery and investigate the current perioperative practices in Japan.
Methods
Patients who underwent cataract surgery from January 2012 to December 2013 were included. Information on perioperative practices were recorded prospectively. Clinical characteristics were examined in cases with endophthalmitis.
Results
A total of 63,244 patients who underwent cataract surgery in 205 facilities were enrolled. The detailed information about the current perioperative scenario surrounding cataract surgery in Japan was evaluated for the preoperative, intraoperative, and postoperative practices, i.e., patient background, prophylactic antibiotic regimen, modes of disinfection or disinfectant use, preoperative procedure, surgical method, surgical materials, surgical complication, or others. Postoperative endophthalmitis developed in 25 patients within 8 weeks postoperatively (incidence 0.04%). However, since outbreaks of toxic anterior segment syndrome (TASS) after implantation of intraocular lenses contaminated with aluminum (HOYA iSert 251 and 255) were reported, 10,261 cases implanted with the lenses had been excluded (as having a risk for non-infectious late-onset TASS). In the remaining 52,983 cases, postoperative endophthalmitis developed in 13 cases within 8 weeks postoperatively (incidence 0.025%).
Conclusions
This prospective survey identified the current perioperative practices representing cataract surgery and the incidence of endophthalmitis following cataract surgery (0.025%) in Japan. We believe this information can serve as a guide for future improvement in risk-reduction strategies.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-017-0545-6</identifier><identifier>PMID: 29094328</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aluminum ; Antibiotics ; Clinical Investigation ; Disinfection ; Endophthalmitis ; Eye surgery ; Health risks ; Implantation ; Incidence ; Intraocular lenses ; Medicine ; Medicine & Public Health ; Ophthalmology ; Outbreaks ; Patients ; Surgery ; Surgical equipment</subject><ispartof>Japanese journal of ophthalmology, 2018, Vol.62 (1), p.24-30</ispartof><rights>Japanese Ophthalmological Society 2017</rights><rights>Japanese Journal of Ophthalmology is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-889b03bc951f87247050d14968d234bb679f1df1ce0f4b14c929ce4bea5ffc433</citedby><cites>FETCH-LOGICAL-c396t-889b03bc951f87247050d14968d234bb679f1df1ce0f4b14c929ce4bea5ffc433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-017-0545-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-017-0545-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29094328$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Inoue, Tomoyuki</creatorcontrib><creatorcontrib>Uno, Toshihiko</creatorcontrib><creatorcontrib>Usui, Norio</creatorcontrib><creatorcontrib>Kobayakawa, Shinichiro</creatorcontrib><creatorcontrib>Ichihara, Kiyoshi</creatorcontrib><creatorcontrib>Ohashi, Yuichi</creatorcontrib><creatorcontrib>Japanese Prospective Multicenter Study Group for Postoperative Endophthalmitis after Cataract Surgery</creatorcontrib><creatorcontrib>On behalf of the Japanese Prospective Multicenter Study Group for Postoperative Endophthalmitis after Cataract Surgery</creatorcontrib><title>Incidence of endophthalmitis and the perioperative practices of cataract surgery in Japan: Japanese Prospective Multicenter Study for Postoperative Endophthalmitis after Cataract Surgery</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose
To prospectively survey the incidence of endophthalmitis following cataract surgery and investigate the current perioperative practices in Japan.
Methods
Patients who underwent cataract surgery from January 2012 to December 2013 were included. Information on perioperative practices were recorded prospectively. Clinical characteristics were examined in cases with endophthalmitis.
Results
A total of 63,244 patients who underwent cataract surgery in 205 facilities were enrolled. The detailed information about the current perioperative scenario surrounding cataract surgery in Japan was evaluated for the preoperative, intraoperative, and postoperative practices, i.e., patient background, prophylactic antibiotic regimen, modes of disinfection or disinfectant use, preoperative procedure, surgical method, surgical materials, surgical complication, or others. Postoperative endophthalmitis developed in 25 patients within 8 weeks postoperatively (incidence 0.04%). However, since outbreaks of toxic anterior segment syndrome (TASS) after implantation of intraocular lenses contaminated with aluminum (HOYA iSert 251 and 255) were reported, 10,261 cases implanted with the lenses had been excluded (as having a risk for non-infectious late-onset TASS). In the remaining 52,983 cases, postoperative endophthalmitis developed in 13 cases within 8 weeks postoperatively (incidence 0.025%).
Conclusions
This prospective survey identified the current perioperative practices representing cataract surgery and the incidence of endophthalmitis following cataract surgery (0.025%) in Japan. We believe this information can serve as a guide for future improvement in risk-reduction strategies.</description><subject>Aluminum</subject><subject>Antibiotics</subject><subject>Clinical Investigation</subject><subject>Disinfection</subject><subject>Endophthalmitis</subject><subject>Eye surgery</subject><subject>Health risks</subject><subject>Implantation</subject><subject>Incidence</subject><subject>Intraocular lenses</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Outbreaks</subject><subject>Patients</subject><subject>Surgery</subject><subject>Surgical equipment</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc1u1TAQhS0EopfCA7BBltiwCfVvErNDVwWKilqpsLYcZ8x1lRsH26l0X42nw2laqCqx8cjyd-aM5yD0mpL3lJDmJFHCW1ER2lREClnVT9CG1pRXjIn6KdoQwmglqZRH6EVK14QQwTh7jo6YIkpw1m7Q77PR-h5GCzg4DGMfpl3emWHvs0_YjD3OO8ATRB_KYbK_KbdobPYW0iKxJpvljtMcf0I8YD_ir2Yy44e1QAJ8GUOawN6Kv83Doh0zRHyV5_6AXYj4MqT8z-D08Rhuobf3Tler00v0zJkhwau7eox-fDr9vv1SnV98Ptt-PK8sV3Wu2lZ1hHdWSerahomGSNJToeq2Z1x0Xd0oR3tHLRAnOiqsYsqC6MBI56zg_Bi9W_tOMfyaIWW998nCMJTPhTlpqqTiTKimKejbR-h1mONYpitUK4pVw2Wh6ErZspcUwekp-r2JB02JXoLVa7C6BKuXYHVdNG_uOs_dHvq_ivskC8BWIJWnsezngfV_u_4BByiypw</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Inoue, Tomoyuki</creator><creator>Uno, Toshihiko</creator><creator>Usui, Norio</creator><creator>Kobayakawa, Shinichiro</creator><creator>Ichihara, Kiyoshi</creator><creator>Ohashi, Yuichi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2018</creationdate><title>Incidence of endophthalmitis and the perioperative practices of cataract surgery in Japan: Japanese Prospective Multicenter Study for Postoperative Endophthalmitis after Cataract Surgery</title><author>Inoue, Tomoyuki ; Uno, Toshihiko ; Usui, Norio ; Kobayakawa, Shinichiro ; Ichihara, Kiyoshi ; Ohashi, Yuichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-889b03bc951f87247050d14968d234bb679f1df1ce0f4b14c929ce4bea5ffc433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aluminum</topic><topic>Antibiotics</topic><topic>Clinical Investigation</topic><topic>Disinfection</topic><topic>Endophthalmitis</topic><topic>Eye surgery</topic><topic>Health risks</topic><topic>Implantation</topic><topic>Incidence</topic><topic>Intraocular lenses</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Outbreaks</topic><topic>Patients</topic><topic>Surgery</topic><topic>Surgical equipment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inoue, Tomoyuki</creatorcontrib><creatorcontrib>Uno, Toshihiko</creatorcontrib><creatorcontrib>Usui, Norio</creatorcontrib><creatorcontrib>Kobayakawa, Shinichiro</creatorcontrib><creatorcontrib>Ichihara, Kiyoshi</creatorcontrib><creatorcontrib>Ohashi, Yuichi</creatorcontrib><creatorcontrib>Japanese Prospective Multicenter Study Group for Postoperative Endophthalmitis after Cataract Surgery</creatorcontrib><creatorcontrib>On behalf of the Japanese Prospective Multicenter Study Group for Postoperative Endophthalmitis after Cataract Surgery</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inoue, Tomoyuki</au><au>Uno, Toshihiko</au><au>Usui, Norio</au><au>Kobayakawa, Shinichiro</au><au>Ichihara, Kiyoshi</au><au>Ohashi, Yuichi</au><aucorp>Japanese Prospective Multicenter Study Group for Postoperative Endophthalmitis after Cataract Surgery</aucorp><aucorp>On behalf of the Japanese Prospective Multicenter Study Group for Postoperative Endophthalmitis after Cataract Surgery</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of endophthalmitis and the perioperative practices of cataract surgery in Japan: Japanese Prospective Multicenter Study for Postoperative Endophthalmitis after Cataract Surgery</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><addtitle>Jpn J Ophthalmol</addtitle><date>2018</date><risdate>2018</risdate><volume>62</volume><issue>1</issue><spage>24</spage><epage>30</epage><pages>24-30</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><abstract>Purpose
To prospectively survey the incidence of endophthalmitis following cataract surgery and investigate the current perioperative practices in Japan.
Methods
Patients who underwent cataract surgery from January 2012 to December 2013 were included. Information on perioperative practices were recorded prospectively. Clinical characteristics were examined in cases with endophthalmitis.
Results
A total of 63,244 patients who underwent cataract surgery in 205 facilities were enrolled. The detailed information about the current perioperative scenario surrounding cataract surgery in Japan was evaluated for the preoperative, intraoperative, and postoperative practices, i.e., patient background, prophylactic antibiotic regimen, modes of disinfection or disinfectant use, preoperative procedure, surgical method, surgical materials, surgical complication, or others. Postoperative endophthalmitis developed in 25 patients within 8 weeks postoperatively (incidence 0.04%). However, since outbreaks of toxic anterior segment syndrome (TASS) after implantation of intraocular lenses contaminated with aluminum (HOYA iSert 251 and 255) were reported, 10,261 cases implanted with the lenses had been excluded (as having a risk for non-infectious late-onset TASS). In the remaining 52,983 cases, postoperative endophthalmitis developed in 13 cases within 8 weeks postoperatively (incidence 0.025%).
Conclusions
This prospective survey identified the current perioperative practices representing cataract surgery and the incidence of endophthalmitis following cataract surgery (0.025%) in Japan. We believe this information can serve as a guide for future improvement in risk-reduction strategies.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>29094328</pmid><doi>10.1007/s10384-017-0545-6</doi><tpages>7</tpages></addata></record> |
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| ispartof | Japanese journal of ophthalmology, 2018, Vol.62 (1), p.24-30 |
| issn | 0021-5155 1613-2246 |
| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Aluminum Antibiotics Clinical Investigation Disinfection Endophthalmitis Eye surgery Health risks Implantation Incidence Intraocular lenses Medicine Medicine & Public Health Ophthalmology Outbreaks Patients Surgery Surgical equipment |
| title | Incidence of endophthalmitis and the perioperative practices of cataract surgery in Japan: Japanese Prospective Multicenter Study for Postoperative Endophthalmitis after Cataract Surgery |
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