Effect of perioperative subcojunctival gentimcin as prophylaxis against acute postcataract surgery endophthalmitis in Al-Sader medical city in Najaf

Purpose: To investigate the effect of use of subconjunctival injection gentimicin as propylaxis against acute postoperative endophthalmitis (POE) following cataract surgery in Al-Sader medical city in Najaf during a 10 months period. Methods: Clinically presumed cases of postoperative endophthalmitis ( POE) were reported in a prospec- tive survey involving ophthalmic clinic for all ophthalmologist that doing the operation inside Al-Sader medical city except one who is give topical gentamicin following cataract surgery . Data on result on 2 qroups 1st taken subconjunctival gentamicin and 2nd not, as well as patient age and gender and various elements of the surgical procedure, were collected.Then I follow-up all the patient for 4weeks for acute post operative endophthalmitis. Aim of the study;To know if the subconjunctival gentamicin following cataract surgery is benifitial as prophylaxis against acute post operative bacterial endophthalmitis or not. Material an‎d Method The present study is based upon of 600 patients with cataract surgery, divided into two equal groups one of them received subconjuctival injection of gentamicin postoperatively and the other not. of different ages , sex over the period from November 2011 – october 2012 . On admission general medical and ophthalmological history review was carried out D.M ,blepharitis, HT prolong drug use as topical steroid antibiotics . All patients underwent same examinations including visual acuity, refraction , the Intraocular pressure , slit lamp Examination Of lids conjunctiva , cornea , Anterior chamber ,pupil posterior segment . At the time of operation , the method of cataract extraction together with the time consumed . any operative complications that occurred during the operation was also noted also the surgeon that doing the operation either senior or post graduate student also noted. On discharged , the patient was instructed to be followed , on the 7th day , 14 day , 21day 28 days postoperatively for endophthalmitis . Results The study sample consisted of 600 patients with cataract surgery, divided into two equal groups one of them received subconjuctival injection of gentamicin postoperatively and the other not. The results showed that 317 (52.8%) was males and 382 (47.2%) was females, the age range of them was 4-90 with mean and standard deviation of (62.5±11.5).Three patients (0.5%) developed endophthalmitis Conclusions: There was no statistical significance between the postoperative subconjuctival injection of gentamicin and the prevention of endophthalmitis as x²= 0.335, df=1,p value=0.5 as shown in table4.