Post-Cataract Surgery Endophthalmitis Prophylaxis Survey in Thai Ophthalmologists
Bibliographic record
Abstract
Pimpetch Kasetsuwan,1,2 Sunee Chansangpetch,1,3 Jipada Pruksacholavit,1,2 Nuntachai Surawatsatien,1,4 Pear Ferreira Pongsaschareonnont,4,5 Usanee Reinprayoon1,6 1Department of Ophthalmology, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand; 2Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; 3Center of Excellence in Glaucoma, Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; 4Center of Excellence in Retina, Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; 5Department of Ophthalmology, Faculty of Health Sciences, Queen’s University, Kingston, Ontario, Canada; 6Center of Excellence for Cornea and Stem Cell Transplantation, Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandCorrespondence: Usanee Reinprayoon, Center of Excellence for Cornea and Stem Cell Transplantation, Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, Thailand, Email usaneer@gmail.comPurpose: To determine current perioperative practice patterns for the prevention of endophthalmitis following cataract surgery in Thailand.Design: Cross-sectional Survey Study.Methods: An online questionnaire was distributed nationwide to certified ophthalmologists, consisting of 21 questions covering 10 preoperative, 7 intraoperative, and 4 postoperative measures for the prevention of post-cataract surgery endophthalmitis. Subgroup analyses were performed to compare practices between general ophthalmologists, retina/uveitis specialists (R/U), and other subspecialists (Non-R/U).Results: A total of 426 responses were analyzed. Preoperative topical antibiotics (21.1%, n = 90) and oral antibiotics (4.9%, n = 21) were rarely prescribed. The most common antiseptic for skin preparation was 10% povidone-iodine (72.3%, n = 308). Intracameral antibiotics were adopted by 54.7% of respondents (n = 233). Postoperative topical antibiotics were almost universally prescribed (99.5%, n = 424). Moxifloxacin was the most preferred topical (preoperative: 45.6%, n = 41, postoperative: 46.4%, n = 197) and intracameral (57.1%, n = 133) antibiotic. Subspecialty analysis revealed that R/U specialists were more prone to use 10% povidone-iodine (relative risk ratio [RRR] 2.37, 95% CI 1.16 to 4.82) and antiseptic applied to fornix (RRR 2.62, 95% CI 1.26 to 5.46) than the general ophthalmologist group.Conclusion: Although the majority of Thai ophthalmologists align their practices with international endophthalmitis prevention guidelines, certain practices were less frequently adopted than recommended. These findings emphasize the need for standardized national practice patterns to enhance surgical outcomes.Keywords: phacoemulsification, infection, prevention, antiseptics, intracameral, antibiotics
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".