DR. ATUL KAMATH

Dr.Jagadeesh Kumar Reddy K, Dr.Aditi Pai, DR. BHOSALE DHANANJAY ANKUSH

Abstract

We conducted a study where we used antibiotics in the irrigation drip of BSS during the surgery to prophylactically study the occurance of nocardia endophthalmitis and study any toxic effects of the antibiotics used.

SETTING & METHODS-Tertiary referral hospital, prospective study of 6 months from july to December-2018.100 patients undergoing uneventful phacoemulsification by the same surgeon were allotted randomly in 2 groups with one group having amikacin and the other having no amikacin in BSS. Pre-opertaive and post-operative specular counts & macular Ocular Coherence Tomography(OCT) were measured and analyzed.

RESULT-We had minimal and negligent change in the macular OCT and specular counts among the two groups with nil incidence of nocardia endophthalmitis which was high as 50% till we introduced it in BSS

CONCLUSIONS-We suggest the usage of amikacin antibiotic in the BSS in places where mass community cataract surgeries and in places where nocardia endophthalmitis is prevalant.