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Presents the findings of a retrospective study that postoperative endophthalmitis occurs less often among patients undergoing cataract surgery with vancomycin added to the irrigation fluid compared with those receiving no intracameral antibiotics. Basis used in the investigation undertake by Doctor Mamta S. Gupta and colleagues in England; Suggestion that a newer-generation fluoroquinolone might be the preferred agent for addition to the irrigating fluid.

The article provides insights from several ophthalmic surgeons on addressing preoperative, intraoperative, and postoperative issues to help surgeons achieve success and patient satisfaction. Topics covered include ocular surface issues on a patient with high myopia, dry eye, and cataract, causes for residual astigmatism after toric intraocular lens implantation, and management and prevention of infection after cataract surgery.

The article focuses on ophthalmologist Robert W. Snyder's discussion about the efficacy of antibiotic prophylaxis for reducing the risk of acute postcataract surgery endophthalmitis, at the American Academy of Ophthalmology annual meeting in Chicago, Illinois. Snyder explains that the rationale of using antibiotics is to eliminate ocular surface pathogens to prevent intraocular inoculation. He notes that one of the earliest suggestions favoring the use of antibiotic prophylaxis emerged in a 1979 paper by Christy and Sommer.

The article reports on the various etiologic factors may cause toxic anterior segment syndrome (TASS) as declared in the initial findings of the TASS Ad Hoc Task Force in Salt Lake City, Utah. TASS became prevalent in the state from February to May 2006 where centers had reported over a hundred cases. Among the factors identified were pre-operative use of non-steroidal anti-inflammatory drugs, administration of intracameral antibiotics, and improper dosing.

The article presents a discussion of the varying practice patterns around the world for the use of antibiotics to prevent endophthalmitis after cataract surgery, adapted from Dr. Andrzej Grzybowski's presentation at the 2017 meeting of the American Academy of Ophthalmology. Topics covered include studies that show trend of decreasing risk of intraocular infections in recent years, and the universal adoption of intracameral antibiotic use for postcataract surgery endophthalmitis prophylaxis.

The article presents a discussion of the benefits of new drug-delivery methods for cataract surgery, adapted from Dr. Francis S. Mahs' presentation at the 2017 meeting of the American Academy of Ophthalmology. Topics covered include the system's ability to improve compliance and reduce medication burden, how the devices might improve efficacy and reduce toxicity, and examples of delivering drugs in the anterior chamber or through intravitreal or transzonular injection.

Discusses the likelihood of a bleb leak that occurs after surgery for glaucoma to respond to conservative therapy. Use of aqueous suppressants, antibiotics and injections in resolving bleb leaks; Concern on pneumococcus and Haemophilus influenzae; Application of cyanoacrylate in the acute setting for thin ischemic blebs. INSET: Take-Home Message.

The article discusses the issue surrounding the selection of antibiotics for prophylaxis of postoperative endophthalmitis. According to Richard K. Forster, a doctor of medicine, older topical antibiotics such as gentamicin and polymyxin B-trimethoprim may still be the best choice and effective compared to fourth-generation fluoroquinolones for endophthalmitis prophylaxis. He added that gentamicin sulfate is also the least expensive.