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Data will be gathered from patients who report having any kind of recurrent conjunctivitis and who, in accordance with clinical practice, are scheduled to have intravitreal injections, glaucoma surgery, cataract surgery, vitrectomy, combined cataract and vitrectomy, or corneal transplantation.
The data will be obtained using pseudonyms from the patients' medical records and will include the outcomes of swabs and surgeries performed in accordance with clinical practice for the patient's condition.
The following swabs will be taken into consideration for data analysis:
Four days before to surgery, a conjunctival swab is used to check for the presence and load of species that do not make up the typical conjunctival flora (Baseline-T0).
On the day of operation, a conjunctival swab is taken before to entering the recovery room (T1).
Following three minutes of 5% iodopovidone instillation in the eye to be operated on, a conjunctival swab (T2) was used.
Additionally, we will gather follow-up data from the medical record 24 and 30 hours after surgery (at day 34 +/- 7 days).
To determine if Zamidine® reduces ocular surface bacterial flora in surgical prophylaxis.
Secondary goals. To quantify and qualitatively evaluate ocular surface bacterial flora,
Data from patients' medical records will be pseudonymized and contain swabs and operation findings according to clinical practice for their condition.
Following swabs will be analyzed for data:
- a conjunctival swab four days before surgery to detect and quantify non-native organisms.
A conjunctival swab before operation day's recovery room (T1).
- a conjunctival swab (T2) after 3 minutes of 5% iodopovidone in the operative eye.
Follow-up data at 24 and 30 days after surgery (day 34 +- 7 days) will be collected from the medical record.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients who need ophthalmic surgery | Patients with a history of recurrent conjunctivitis who are scheduled for minor or major ocular surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conjunctival Swab | Diagnostic Test | CFU/ml by bacterial species before and after prophylaxis. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bacterial species before and after prophylaxis. | CFU/ml by bacterial species before and after prophylaxis. | 4 days before prophylaxis, the day of surgery before and after povidone-iodine |
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Inclusion Criteria:
Exclusion Criteria:
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Saranno inclusi nello studio i pazienti che devono eseguire qualsiasi intervento di chirurgia oftalmica minore o maggiore con anamnesi positiva di congiuntiviti ricorrenti, secondo pratica clinica e che necessitano di profilassi chirurgica antisettica.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Stanislao Rizzo, MD, Prof | Contact | 0630151 | oculistica@policlinicogemelli.it | |
| Valentina Cestrone, Dr | Contact | 0630154528 | valentina.cestrone@guest.policlinicogemelli.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prof. Stanislao Rizzo | Recruiting | Rome | 00168 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27847602 | Background | Merani R, Hunyor AP. Endophthalmitis following intravitreal anti-vascular endothelial growth factor (VEGF) injection: a comprehensive review. Int J Retina Vitreous. 2015 Jul 21;1:9. doi: 10.1186/s40942-015-0010-y. eCollection 2015. | |
| 2062496 | Background | Speaker MG, Milch FA, Shah MK, Eisner W, Kreiswirth BN. Role of external bacterial flora in the pathogenesis of acute postoperative endophthalmitis. Ophthalmology. 1991 May;98(5):639-49; discussion 650. doi: 10.1016/s0161-6420(91)32239-5. |
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| ID | Term |
|---|---|
| D005128 | Eye Diseases |
| D003231 | Conjunctivitis |
| ID | Term |
|---|---|
| D003229 | Conjunctival Diseases |
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| 32775308 | Background | Peyman A, Hosseini M, Narimani T. Comparison of the Effects of Povidone-Iodine 5%, Polyhexamethylene Biguanide, and Chlorhexidine as a Preoperative Antiseptic in Endophthalmitis Prophylaxis in Patients Undergoing Phacoemulsification Cataract Surgery. Adv Biomed Res. 2020 Apr 22;9:15. doi: 10.4103/abr.abr_155_19. eCollection 2020. |
| 33819460 | Background | Aragona P, Baudouin C, Benitez Del Castillo JM, Messmer E, Barabino S, Merayo-Lloves J, Brignole-Baudouin F, Inferrera L, Rolando M, Mencucci R, Rescigno M, Bonini S, Labetoulle M. The ocular microbiome and microbiota and their effects on ocular surface pathophysiology and disorders. Surv Ophthalmol. 2021 Nov-Dec;66(6):907-925. doi: 10.1016/j.survophthal.2021.03.010. Epub 2021 Apr 2. |