Clinical effects of conjunctival sac flushing using different concentration of povidoneiodine on corneal epithelium before cataract surgeries

• Main Authors: Xue-Lian Gu, Ming Lei
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2015-10-01
• Series: Guoji Yanke Zazhi
• Subjects: conjunctival sac; povidoneiodine; flushing; corneal epithelium
• Online Access: http://ies.ijo.cn/cn_publish/2015/10/201510038.pdf

AIM:To determine the most optimal concentration of the safe usage of povidone-iodine(PVP-I)in the flushing to disinfect the conjunctive sac before cataract surgeries, in order to provide a scientific basis for clinical eye surgery work.<p>METHODS:Sixty-two patients with phacoemulsification and intraocular lens implantation in our hospital from October 2012 to October 2014 were randomly divided into 0.25g/L PVP-I group(Ⅰ)and 5g/L PVP-I group(Ⅱ). Sterilizing effect and the complications postoperative were analyzed.<p>RESULTS:The sterilizing effects of the two groups after flushing conjunctiva sac using different concentrations of PVP-I were both remarkable, but the difference between the two groups was not statistically significant(<i>P</i>>0.05). No endophthalmitis occurred in the two groups. Observing the corneal condition after rinsing, no severe conjunctival hyperemia, corneal edema and other serious complications occurred. There was slightly punctate corneal epithelial shedding in groupⅡ, and the difference was statistically significant(<i>P</i><0.05)between the two groups. After rinsing, discomfort rate of group Ⅰ was 12.5%, and 40% of group Ⅱ. The difference of discomfort rate between the two groups was statistically significant(<i>P</i><0.05).<p>CONCLUSION:Using 0.25g/L PVP-I in the conjunctiva sac rinsing before surgeries can inhibit the growth of bacteria in the conjunctival sac, reduce the impact on the corneal epithelium thereby reducing the incidence of postoperative complications and the positive rate of bacterial culture, increasing the comfort degree of patients, bringing a better area for the surgeries.