Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic Status
Purpose. We investigated acute endophthalmitis incidence following cataract surgery vis-a-vis the current technological and postoperative care changes in higher and lower socioeconomic categories of patients in South India. Methods. In a retrospective case control study, we analyzed 62 cases of acut...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2012/298459 |
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| author | Taraprasad Das Anjli Hussain Thomas Naduvilath Savitri Sharma Subhadra Jalali Ajit B. Majji |
| author_facet | Taraprasad Das Anjli Hussain Thomas Naduvilath Savitri Sharma Subhadra Jalali Ajit B. Majji |
| author_sort | Taraprasad Das |
| collection | DOAJ |
| description | Purpose. We investigated acute endophthalmitis incidence following cataract surgery vis-a-vis the current technological and postoperative care changes in higher and lower socioeconomic categories of patients in South India. Methods. In a retrospective case control study, we analyzed 62 cases of acute endophthalmitis and 5 controls for each endophthalmitis case from 46,095 cataract surgeries done between years 1993 and 1998. The time period covered the transition of surgical technique and after care. In addition, we analyzed systemic diseases, surgeon factor, habitat, and socioeconomic status. Results. Clinical and culture positive endophthalmitis incidence were 0.13% and 0.07%, respectively. Differential incidence of 0.10% and 0.17% for in- and ambulatory care surgeries, respectively, was close to statistical significance (𝑃=0.054). Lower economy category ambulatory patients had higher risk of infection. Conclusion. Ambulatory cataract surgery carried additional risk for post-operative infection in lower socioeconomic group. Improved health education could ensure greater safety. |
| format | Article |
| id | doaj-art-54d29a5097ae4816aa0235a451fec4fa |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-54d29a5097ae4816aa0235a451fec4fa2025-02-03T05:46:27ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/298459298459Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic StatusTaraprasad Das0Anjli Hussain1Thomas Naduvilath2Savitri Sharma3Subhadra Jalali4Ajit B. Majji5Smt. Kanuri Santhamma Retina Vitreous Center, L V Prasad Eye Institute, Hyderabad 500034, IndiaSmt. Kanuri Santhamma Retina Vitreous Center, L V Prasad Eye Institute, Hyderabad 500034, IndiaPublic Health Ophthalmology Division, L V Prasad Eye Institute, Hyderabad 500034, IndiaL V Prasad Eye Institute, Patia, Bhubaneswar 751024, IndiaSmt. Kanuri Santhamma Retina Vitreous Center, L V Prasad Eye Institute, Hyderabad 500034, IndiaSmt. Kanuri Santhamma Retina Vitreous Center, L V Prasad Eye Institute, Hyderabad 500034, IndiaPurpose. We investigated acute endophthalmitis incidence following cataract surgery vis-a-vis the current technological and postoperative care changes in higher and lower socioeconomic categories of patients in South India. Methods. In a retrospective case control study, we analyzed 62 cases of acute endophthalmitis and 5 controls for each endophthalmitis case from 46,095 cataract surgeries done between years 1993 and 1998. The time period covered the transition of surgical technique and after care. In addition, we analyzed systemic diseases, surgeon factor, habitat, and socioeconomic status. Results. Clinical and culture positive endophthalmitis incidence were 0.13% and 0.07%, respectively. Differential incidence of 0.10% and 0.17% for in- and ambulatory care surgeries, respectively, was close to statistical significance (𝑃=0.054). Lower economy category ambulatory patients had higher risk of infection. Conclusion. Ambulatory cataract surgery carried additional risk for post-operative infection in lower socioeconomic group. Improved health education could ensure greater safety.http://dx.doi.org/10.1155/2012/298459 |
| spellingShingle | Taraprasad Das Anjli Hussain Thomas Naduvilath Savitri Sharma Subhadra Jalali Ajit B. Majji Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic Status Journal of Ophthalmology |
| title | Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic Status |
| title_full | Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic Status |
| title_fullStr | Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic Status |
| title_full_unstemmed | Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic Status |
| title_short | Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic Status |
| title_sort | case control analyses of acute endophthalmitis after cataract surgery in south india associated with technique patient care and socioeconomic status |
| url | http://dx.doi.org/10.1155/2012/298459 |
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