Details

Autor(en) / Beteiligte

• Falavarjani, Khalil Ghasemi, MD
• Aghamirsalim, Mohammadreza, MD
• Modarres, Mehdi, MD
• Hadavandkhani, Ali, MD
• Hashemi, Masih, MD
• Parvaresh, Mohammad Mehdi, MD
• Naseripour, Masood, MD
• Samiy, Nasrollah, MD

Titel

Endophthalmitis after resident-performed intravitreal bevacizumab injection

Ist Teil von

• Canadian journal of ophthalmology, 2015-02, Vol.50 (1), p.33-36

Ort / Verlag

England: Elsevier Inc

Erscheinungsjahr

2015

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Objective To evaluate the rate of acute endophthalmitis after resident-performed intravitreal bevacizumab (IVB) injections and to compare the results with those performed by attending retina surgeons. Design Retrospective comparative case series. Participants Eight thousand thirty-seven patients treated with intravitreal injection of bevacizumab. Methods A retrospective chart review of the resident-performed IVB injections at Rassoul Akram Hospital and attending-performed IVB injections at a private eye clinic between 2011 and 2014 was undertaken. Cases of clinical endophthalmitis were identified. Results During the study interval, the overall incidence rate of postinjection endophthalmitis was 0.01% (1/8037). Antibiotic eye drops were prescribed after IVB injection for 2771 eyes (34.5%). The single case of acute endophthalmitis occurred after a resident-performed injection, and vitreous culture showed growth of Staphylococcus epidermidis . The incidence rate of acute endophthalmitis after resident-performed IVB injection was 0.02% (1/4921). No statistically significant difference was found in the rates of endophthalmitis between resident-performed and attending-performed injections ( p = 1). Also, the difference in the rates of endophthalmitis between those receiving postinjection antibiotics and those who did not was not statistically significant ( p = 0.3). Conclusions The risk for endophthalmitis after resident-performed IVB injection is low and similar to that of the supervising surgeons performing the procedure.