A New Complication Associated with the Use of Prophylactic Intracameral Antibiotics: Hemorrhagic Occlusive Retinal Vasculitis.

Given the substantial increase in antimicrobial resistance among ocular pathogens worldwide, evidence-based strategies are needed to carefully analyze the risks and benefits of routine prophylactic intracameral antibiotics for prevention of infection in cataract surgery. In ophthalmology, 2 basic issues are debated frequently: (1) the effectiveness of intracameral antibiotics in lowering rates of endophthalmitis in association with cataract surgery and (2) the use of vancomycin as a prophylactic antibiotic. Intracameral antibiotics during cataract surgery, although used in some parts of the world, remain controversial. Prophylactic antibiotics are associated with increased costs, risks to the individual patient, and risks to the population at large, by contributing to the emergence of drug-resistant or-