Evidence map›Paper›PMID 32460732›Full record

ArticleBMC ophthalmology2020

Is it necessary to use tobramycin-dexamethasone eye ointment prophylactically in eyes at the end of intraocular surgery?

Wei Zhang, Han Han, Kang Feng, Xiaohong Wang, Mei Du, Xiangda Meng, Yuanyuan Liu, Bo Huang, Rodrigo Brant, Hua Yan

Abstract read
In one paragraph

Article in BMC ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Wei ZhangTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Clinical College of Ophthalmology Tianjin Medical University, Tianjin, China.
Han HanDepartment of Ophthalmology, Tianjin Medical University General Hospital, No. 154 Anshan Road, Tianjin, 300052, China.
Kang FengDepartment of Ophthalmology, Peking University Third Hospital, Beijing, China.
Xiaohong WangLaboratory of Molecular Ophthalmology, Tianjin Medical University, Tianjin, China.
Mei DuLaboratory of Molecular Ophthalmology, Tianjin Medical University, Tianjin, China.
Xiangda MengDepartment of Ophthalmology, Tianjin Medical University General Hospital, No. 154 Anshan Road, Tianjin, 300052, China.
Yuanyuan LiuDepartment of Ophthalmology, Tianjin Medical University General Hospital, No. 154 Anshan Road, Tianjin, 300052, China.
Bo HuangDepartment of Ophthalmology, University of Mississippi Medical Center, Jackson, MS, 39216, USA.
Rodrigo BrantDepartment of Ophthalmology and Visual Sciences, Federal University of São Paulo, São Paulo, 04023-062, Brazil.
Hua YanDepartment of Ophthalmology, Tianjin Medical University General Hospital, No. 154 Anshan Road, Tianjin, 300052, China. phuayan2000@163.com.ORCID http://orcid.org/0000-0001-9115-490X

Funding

National Natural Science Foundation of China 31871184National Natural Science Foundation of China 81800815National Natural Science Foundation of China 81830026
6 · The paper itself

Abstract

backgroundThere are no data available regarding the complications associated with using antibiotic ointment at the end of intraocular surgery. This study aimed to explore the necessity of using ocular tobramycin-dexamethasone prophylactically at the end of intraocular surgery.

methodsThis was a retrospective cohort study of patients who received intraocular surgery at Tianjin Medical University General Hospital from January 2015 to December 2017. The patients were grouped according to whether they received tobramycin-dexamethasone eye ointment or not after surgery. The Tobramycin dexamethasone eye ointment was sampled to observe bacterial contamination pathogens at 0.5, 1, 1.5, 2, 2.5, 3, 6, 8, 24, 36, 48, 72, and 168 h after being opened.

resultsA total of 3811 eyes in 3811 patients (mean age of 63 ± 12 years) were included: 2397 eyes that received prophylactic tobramycin-dexamethasone eye ointment and 1414 eyes that did not. The overall rate of endophthalmitis was 0.08% (3/3811) in our study, all in the eye ointment group (0.12%, 3/2397); no patients developed endophthalmitis in the non-ointment group (0%, 0/1414)(P = 0.184). The anterior chamber reactions 1 day after surgery were more serious in the eye ointment group compared with the non-ointment group (all P < 0.05), but there were no statistically significant differences at 1 month postoperatively (all P > 0.05). The contamination rate was 0% at all time points over 7 days.

conclusionWe did not observe a statistically significant difference in the incidence of endophthalmitis in patients with or without prophylactic tobramycin-dexamethasone eye ointment. And tobramycin-dexamethasone eye ointment seemed to increase some side effects such as eye secretions increasing and foreign body feeling.

Indexed as

Ophthalmologic Surgical ProceduresAdultAgedAnti-Bacterial AgentsAnti-Inflammatory AgentsBacteriaEndophthalmitisEye Infections, BacterialFemaleFollow-Up StudiesHumansMaleMiddle AgedOintmentsRetrospective StudiesTobramycin, Dexamethasone Drug CombinationAnti-Bacterial AgentsAnti-Inflammatory AgentsOintmentsTobramycin, Dexamethasone Drug CombinationAntibiotics, prophylacticCataract extractionEndophthalmitisGlaucomaVitrectomy

Identifiers

PMID32460732
PMCPMC7254748

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.