Controversies, Consensuses, and Guidelines on Preventing, Diagnosing and Managing Acute-onset Bacterial…

GuidelineAmerican journal of ophthalmology· Dec 2025

Controversies, Consensuses, and Guidelines on Preventing, Diagnosing and Managing Acute-onset Bacterial Endophthalmitis after Cataract Surgery by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO), the Asia-Pacific Vitreo-retina Society (APVRS), and the Asia-Pacific Society of Ocular Inflammation and Infection (APSOII).

Namrata Sharma, Aafreen Bari, Srinivas K Rao … Dennis S C Lam

RetinaGuidelineClinical practiceQ1IF 4.2

Expert panel reached consensus on less than half of proposed endophthalmitis prevention guideline statements.

Controversies, Consensuses, and Guidelines on Preventing, Diagnosing and Managing Acute-onset Bacterial Endophthalmitis after Cataract Surgery by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO), the Asia-Pacific Vitreo-retina Society (APVRS), and the Asia-Pacific Society of Ocular Inflammation and Infection (APSOII).

Namrata Sharma … Dennis S C Lam

American journal of ophthalmology · Dec 2025 · Q1 in Ophthalmology

Background

Postcataract surgery endophthalmitis is a serious but largely preventable clinical entity.

Purpose

This document aims to establish standardized guidelines to improve cataract surgery outcomes by minimizing the risk of postoperative endophthalmitis.

Methods

This consensus manuscript is the product of a systematic review of the current literature, informed by the collective experience and expertise of the panel members.

n = 45 consensus statements

Results

46.6%

less than half of proposed guideline statements gained expert agreement

n = 45 consensus statements

“

Conclusion · 1 of 2

This document aims to establish standardized guidelines to improve cataract surgery outcomes by minimizing the risk of postoperative endophthalmitis.

Conclusion · 2 of 2

For areas where consensus was not achieved, the panel recommends further investigation and continued research to guide future updates to clinical practice.

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