Povidone-Iodine Adverse Effects and Alternatives for Ocular Procedures

被引:4
作者
Nair, Smriti [1 ,2 ]
Zhu, Aretha [1 ]
Jaffry, Mustafa [1 ]
Choudhry, Hassaam [1 ]
Dastjerdi, Mohammad H. H. [1 ]
机构
[1] Rutgers New Jersey Med Sch, Inst Ophthalmol & Visual Sci, Dept Ophthalmol & Visual Sci, Newark, NJ USA
[2] Rutgers New Jersey Med Sch, Dept Ophthalmol & Visual Sci, 185 S Orange Ave, Newark, NJ 07103 USA
关键词
povidone-iodine; ocular surgery; chlorhexidine; antiseptics; adverse effects; OCTENIDINE DIHYDROCHLORIDE; INTRAVITREAL INJECTIONS; CONTACT-DERMATITIS; ANTISEPTIC AGENTS; CATARACT-SURGERY; EYE DROPS; CHLORHEXIDINE; DECONTAMINATION; POLYHEXANIDE; EFFICACY;
D O I
10.1089/jop.2022.0122
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: Povidone-iodine (PVI), also known as Betadine, is a widely used antiseptic agent used in several fields of medicine. In ophthalmology, it is applied as a preoperative antiseptic to prevent infectious complications that can result from surgical procedures. PVI's safety and efficacy have been extensively studied and represented in the literature; however, the incidence of adverse effects has been reported in conjunction. The aim of this paper is to compile information regarding PVIs use, safety profile, adverse effects, and possible alternatives through a review of the existing literature.Methods: Literature was compiled utilizing the database PubMed and Google Scholar using specified keywords with a total of 86 reviewed articles, after excluding search results that did not meet the inclusion criteria.Results: While the allergic potential to PVI is a highly contested topic, there are several nonallergic adverse effects of PVI that should not be overlooked. These effects include chemical burn, cytotoxic effects, and general patient discomfort. In light of these adverse effects, alternatives to PVI may be considered. However, there has been little research identifying feasible alternatives in preoperative intraocular procedures. Alternatives including chlorhexidine, polyhexamethylene biguanide (polyhexanide), and octenidine were identified as potential substitutes for PVI.Conclusions: Further study is needed to provide robust evidence regarding the efficacy profiles of these alternatives in comparison with PVI and to demonstrate comparable tolerance to PVI in intraocular procedures.
引用
收藏
页码:207 / 214
页数:8
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