risk factors for endophthalmitis in age-related cataract patients undergoing phacoemulsification

METHODS: The 4 500 cases(6 180 eyes)of age-related cataract patients with phacoemulsification in our hospital were analyzed, and cases of endopathalmitis needed to have vitreous puncture to collect the sample for analysis, the infectious bacteria, funfal distribution and the operation time, patients age, complications, surgical incision were analyzed for the risk factors of endophthalmitis in senile cataract patients. Data were statistically analyzed by SPSS 18.0.

RESULTS: In our study, among the 4500 cases(6180 eyes)with phacoemulsification, the endophthalmitis infection rate was 0.19%(12/6180), the incidence of endophthalmitis was significantly higher in patients with age ≥75 years, with diabetes, hypertension, coronary heart disease history, and the temporal transparent corneal tunnel incision surgery(P<0.05). The vitreous overflow and the posterior capsule broken in the operative process of the endophthalmitis infection were 60.00%(9/15)and 66.67%(8/12), more higher than patients with no symptoms obviously(P<0.01).

CONCLUSION: For the cataract patients over 75 years old or with diabetes, interventions should be done well before surgery. Surgical incision should be selected in the surgical procedure and avoid complications such as vitreous overflow and posterior capsular rupture in order to reduce the incidence of intraocular infection and improve the postoperative recovery.