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December 10, 2003

Topical Antibiotics Before Cataract Surgery

JAMA. 2003;290(22):2937-2938. doi:10.1001/jama.290.22.2937-a

To the Editor: In their Contempo Updates article about treating age-related cataracts, Drs Solomon and Donnenfeld1 provided no evidence to support their assertion that, "Postoperatively, a patient is often started on topical eye drops, antibiotics to prevent infection (fourth-generation fluoroquinolones [gatifloxacin or moxifloxacin]), . . . ." Although topical antibiotics are part of the typical regimen to prevent postoperative infections in patients receiving cataract surgery, the newest addition to our antibiotic arsenal, topical fourth-generation fluoroquinolones, have not been shown in controlled studies to be better than existing agents.