{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T10:17:01Z","timestamp":1776766621821,"version":"3.51.2"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background As studies have shown postsurgical polyvidone-iodine to be at least equal to postsurgical topical antibiotics, our postsurgical care regime was adjusted accordingly in\n\t\t\t\t\t2017. Here, we retrospectively compared the postsurgical infection rate in patients who underwent strabismus surgery prior to and following this change in regimen in a routine clinical\n\t\t\t\t\tsetting.<\/jats:p><jats:p>\n          Patients and Methods In this retrospective and explorative study, data from 162 adult patients who had undergone strabismus surgery was extracted from files: 98 patients who had\n\t\t\t\t\treceived topical gentamycin in a combination ointment with steroid (postsurgery) followed by 1 week of topical gentamycin with nonsteroidal antiphlogistic eye drops for 1 week (group 1) and\n\t\t\t\t\t64 who had received polyvidone-iodine once immediately postsurgically instead. We compared both groups\u02bc postsurgical healing period regarding occurrence of bacterial conjunctival infection\n\t\t\t\t\tand conjunctival swelling and redness as well as other complications. Data were extracted from the entries of the routine follow-up dates on postsurgical days 1, 7, and at 3 months.<\/jats:p><jats:p>\n          Results Mean age of group 1 was 49 years and 51 years in group 2. There was no significant difference between the kind of surgeries (recessions\/resections) or the number of patients\n\t\t\t\t\twho had undergone a reoperation. There was no significant difference between the groups for any of the endpoints analyzed at any of the three regular follow-up dates. From group 1, 12.04%\n\t\t\t\t\tand from of group 2, 6.25% showed bacterial conjunctivitis 1 week postsurgery. There was no endophthalmitis.<\/jats:p><jats:p>\n          Conclusion Topical polyvidone-iodine given once at the end of strabismus surgery is a good alternative to topical antibiotics with a comparable healing progress. It carries a\n\t\t\t\t\tcomparable risk of infection as seen with a 1-week course of topical antibiotics. The advantages are less manipulation of the eye, no bacterial resistance caused, and cost efficiency. In\n\t\t\t\t\taddition, the lack of anti-inflammatories given in group 2 did not pose a disadvantage.<\/jats:p>","DOI":"10.1055\/a-1785-4441","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T22:36:36Z","timestamp":1651012596000},"page":"593-596","source":"Crossref","is-referenced-by-count":2,"title":["Strabismus Surgery: A Retrospective Comparison of Different Postoperative Treatment Regimes to Prevent Infections"],"prefix":"10.1055","volume":"239","author":[{"given":"Daniel","family":"Felber","sequence":"additional","affiliation":[{"name":"University Eye Hospital Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francoise","family":"Roulez","sequence":"additional","affiliation":[{"name":"University Eye Hospital Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4062-4814","authenticated-orcid":false,"given":"Anja","family":"Palmowski-Wolfe","sequence":"additional","affiliation":[{"name":"University Eye Hospital Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,4,26]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1038\/eye.1987.89","article-title":"Day case strabismus surgery without post-operative ocular medication. A masked randomised study","volume":"1","author":"M C Hagan","year":"1987","journal-title":"Eye (Lond)"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"205","DOI":"10.3928\/0191-3913-19900701-09","article-title":"Are antibiotic-steroid drops necessary following strabismus surgery? A prospective, randomized, masked trial","volume":"27","author":"E Wortham 5th","year":"1990","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/S0002-9394(14)72773-4","article-title":"The effect of povidone-iodine solution applied at the conclusion of ophthalmic surgery","volume":"119","author":"L Apt","year":"1995","journal-title":"Am J Ophthalmol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"354","DOI":"10.3928\/01913913-20190808-01","article-title":"Strabismus Surgery Infection Prophylaxis and Timing of First Postoperative Visit","volume":"56","author":"C N DeBenedictis","year":"2019","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jaapos.2018.05.013","article-title":"A randomized controlled trial comparing the efficacy of topical antibiotic steroid combination versus no treatment after fornix-incision strabismus surgery","volume":"22","author":"A A Elkamshoushy","year":"2018","journal-title":"J AAPOS"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.jaapos.2007.10.005","article-title":"Postoperative povidone-iodine prophylaxis in strabismus surgery","volume":"12","author":"N M Koederitz","year":"2008","journal-title":"J AAPOS"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1038\/sj.eye.6702944","article-title":"Corneal \u2018dellen\u2019 as a complication of strabismus surgery","volume":"23","author":"M Fresina","year":"2009","journal-title":"Eye (Lond)"},{"key":"ref8","first-page":"211","article-title":"Infection following strabismus surgery","volume":"10","author":"M R Ing","year":"1991","journal-title":"J Ophthalmic Nurs Technol"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1785-4441.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T22:40:39Z","timestamp":1651012839000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1785-4441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":8,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,4,26]]},"published-print":{"date-parts":[[2022,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1785-4441","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"value":"0023-2165","type":"print"},{"value":"1439-3999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}