To the Editor We read with interest the article by Schimel et al,1 who provided a concise and informative overview on currently available and used methods for pseudophakic endophthalmitis prophylaxis.
We agree on most of the reported information and analysis, and we certainly oppose the use of antibiotics in the irrigating solutions; however, we also strongly support the use of a bolus of antibiotic drugs administered intracamerally at the end of the surgical procedure. Although we also agree that we are witnessing a rapid evolution of practice patterns, novel recommendations should be based at least in part and with heavy emphasis on properly conducted trials.
Carifi G, Zygoura V, Kopsachilis N. Need for Antibiotic Prophylaxis for Pseudophakic Endophthalmitis. JAMA Ophthalmol. 2015;133(8):970-971. doi:10.1001/jamaophthalmol.2015.1438