Association between Aphakia and Endophthalmitis after Pediatric Cataract Surgery

Endophthalmitis is a rare but devastating complication of cataract surgery. The IRIS® Registry (Intelligent Research in Sight) reported a significantly higher incidence of endophthalmitis in children compared with adults (0.37% vs. 0.04%). Other studies have reported rates of 0.45% and 0.51%, 1 Pershing S. Lum F. Hsu S. et al. Endophthalmitis after cataract surgery in the United States: a report from the Intelligent Research in Sight Registry, 2013-2017. Ophthalmology. 2020; 127: 151-158 Abstract Full Text Full Text PDF PubMed Scopus (99) Google Scholar , 2 Nguyen A.M. Roberts T.L. Ryu W.Y. Lambert S.R. Endophthalmitis after pediatric cataract surgery in the United States: report using an insurance claims database. J Cataract Refract Surg. 2021; 47: 1161-1166 Crossref PubMed Scopus (3) Google Scholar , 3 Good W.V. Hing S. Irvine A.R. et al. Postoperative endophthalmitis in children following cataract surgery. J Pediatr Ophthalmol Strabismus. 1990; 27: 283-285 Crossref PubMed Google Scholar , 4 Lacy M. Hung T.P.H. Own J.P. et al. Endophthalmitis rate in immediately sequential versus delayed sequential bilateral cataract surgery within the Intelligent Research in Sight (IRIS) Registry Data. Ophthalmology. 2022; 129: 129-138 Abstract Full Text Full Text PDF PubMed Scopus (21) Google Scholar but associated factors remain largely unknown. The purpose of this study was to assess factors associated with endophthalmitis after pediatric cataract surgery using a large claims database.