Menikoff identified risk factors for endophthalmitis after surgery for intra-ocular lens placement. These can help identify ways to reduce infection and patients who may require closer monitoring after surgery. The authors are from The New York Eye and Ear Infirmary and New York University School of Medicine in New York.


Risk factors for endophthalmitis from multiple logistic regression analysis:

(1) intraoperative communication with the vitreous cavity

(2) posterior chamber lens made with polypropylene haptics

(3) history of drug allergy


Intraoperative communication with the vitreous cavity was defined as one of the following:

(1) preoperative or intraoperative defect in the posterior capsule or zonules

(2) inclusion of an anterior or pars plana vitrectomy in the operative procedure


Other risk factors:

(1) duration of proceedure >= 60 minutes


The risk ratio for intraoperative communication was 13.7, for polypropylene haptics was 4.5, and for drug allergy 2.2.


To read more or access our algorithms and calculators, please log in or register.