Employing the Intraocular Irrigating Solution Containing Moxifloxacin in Cases of Posterior Capsular Rupture
Journal Title: Ophthalmology Research: An International Journal - Year 2017, Vol 7, Issue 3
Abstract
Introduction: Although the high risk of postoperative endophthalmitis in cases of posterior capsular rupture (PCR) has been well-known, no specific prophylaxis has been proposed. In recent years, the safety of intracameral moxifloxacin (MFLX) has been established. Therefore, we have been performing cataract surgery in cases of PCR using an irrigating solution containing MFLX. Methods: We retrospectively examined the clinical records of nine patients (nine eyes) who suffered PCR during cataract surgery between 2012 and 2014. Once PCR was confirmed, surgery was continued using an irrigating solution containing MFLX (100-fold dilution: 50µg/ml). We investigated the ocular parameters at 3–12 months postoperatively (6.2 ± 2.4 months). Results: After surgery, the intraocular pressure was 15.3 ± 2.3 mmHg, the endothelial cell density was 2702 ± 336/mm2, the retinal thickness was 238 ± 12 µm and the corrected visual acuity was 20/25 or greater in all patients. None of the patients developed endophthalmitis or complications related to MFLX administration such as cystoid macular edema (CME) or toxic anterior segment syndrome. Conclusions: In the present study, no apparent adverse effect of MFLX containing irrigating solution was indicated. Because the minimum inhibitory concentration of MFLX for 90% of bacteria is low and there have been no reports of its retinal toxicity, we believe that the MFLX-containing irrigating solution is a rational choice for treating vitreous contamination following PCR.
Authors and Affiliations
Kazuki Matsuura
Keywords
Related Articles
- EP ID EP308746
- DOI 10.9734/OR/2017/37000
- Views 133
- Downloads 0
Ocular Ischemic Syndrome Associated with Primary Hyperparathyroidism
Aim: To present a case of bilateral ocular ischemic syndrome associated with severe carotid artery occlusive disease and to discuss any possible etiological factors, including parathyroid adenoma. Case Presentation: We...
Proptosis from Metastatic Thyroid Carcinoma: Case Report and Review
A 70 year old female presented with right sided orbital proptosis since one and half year with past history of thyroidectomy. On examination thyroid swelling was present with right orbital proptosis. Routine blood invest...
Evaluation of Tear Secretion in Thyroid Patients in Relation to the Thyroid Status and Previous I131 Treatment for Thyroid Cancer
Aims: To evaluate tear secretion of thyroid patients with no clinical evidence of thyroid ophthalmopathy in relation to thyroid status and history of I131 treatment by the use of the 2-minute Schirmer test I (test withou...
Traumatic Cataract
Traumatic cataract is more common in younger individuals. Traumatic cataract is an important cause of uniocular visual loss and is often sudden in onset. Traumatic lens damage may be caused by mechanical or non-mechanica...
Case Reports of Previously Undiagnosed Cases of Homocystinuria Presenting as Displaced Lenses after Trivial Trauma
Eye is a window to a rare disease. Two children aged 9 year old male and 5 years old female presented with pain, redness and sudden diminution of vision in right eye and left eye respectively following trivial trauma whi...