眼科学报2026，Vol.41Issue(8)：679-688,10.DOI:10.12419/25101501
白内障围手术期质量控制关键环节优化对术后感染性眼内炎防控的影响及研究进展
Optimizing key aspects of perioperative quality control in cataract surgery:impact on the prevention and control of postoperative infectious endophthalmitis and recent advances
摘要
Abstract
Cataract surgery is one of the most widely performed ophthalmic procedures globally.Postoperative endophthalmitis,a severe complication with low incidence but high risk of blindness,has consistently been the focus of clinical attention in terms of its prevention and control.Over the past three decades,researchers have carried out extensive basic and clinical studies aimed at reducing the incidence of postoperative endophthalmitis,and have achieved significant progress.However,a consensus has not yet been reached on many key perioperative prevention and control aspects,and there is also a lack of standardized clinical quality control standards supported by high-level evidence-based medical evidence.In view of this,this review takes the whole process of cataract perioperative period as the framework,and systematically reviews the research progress in preventing postoperative endophthalmitis by optimizing key aspects in recent years.The preoperative prevention focused on the standardized use of topical antibiotics,the standardized preparation of eyelids and eyelashes,and the standardized operation of lacrimal passage irrigation.The intraoperative prevention revolved around the standardized concentration,method and time of povidone-iodine application,the effectiveness of surgical masks,and the selection and standardized application of intracameral antibiotics.The postoperative prevention focused on the use of postoperative medication and infection monitoring.Through systematically sorting out the research controversies and clinical implementation status of the preventive measures in the above aspects,this review puts forward the prospect of formulating standardized quality control standards for key prevention and control strategies with sufficient evidence.Ultimately,it provides practical basis for optimizing the perioperative quality control of cataract surgery and constructing a precise infection prevention strategy.关键词
白内障手术/术后眼内炎/质量控制/感染预防/前房内抗菌药物/聚维酮碘Key words
cataract surgery/postoperative endophthalmitis/quality control/infection prevention/intracameral antibiotics/povidone-iodine分类
医药卫生引用本文复制引用
陈睛晶,柳夏林,李涛,林浩添,肖伟,罗莉霞,严宏,袁敏而,孙立梅,向武,林悦燕,陈晓倩..白内障围手术期质量控制关键环节优化对术后感染性眼内炎防控的影响及研究进展[J].眼科学报,2026,41(8):679-688,10.基金项目
2024 年度现代医院管理研究课题(28BC2024002-1).This work was supported by The Research Project on Modern Hospital Management(2024,28BC2024002-1). （28BC2024002-1）
