Early complications of intraocular lens (IOL) surgery include corneal edema, wound leak, shallow anterior chamber, hyphaema, retained lens matter, and uveitis. Late complications include posterior capsular opacification, cystoid macular edema, endophthalmitis, and retinal detachment. Post-operative endophthalmitis is a vision-threatening complication that is treated with topical, systemic, and intravitreal antibiotics along with steroids. Posterior capsular opacification occurs in 10-50% of cases due to proliferation of lens epithelial cells.

1. POST OPERATIVE COMPLICATIONS AFTER IOL SURGERY Chief of unit: Dr. K. Dayakar. Moderator: Dr. G. R. Bharath kumar. Presenter: Dr. W. Siva kumar (junior resident)

7. CORNEAL OEDEMA

14. WOUND LEAK

18. WOUND LEAK(SIEDELS TEST)

20. SHALLOW ANTERIOR CHAMBER

22. SHALLOW ANTERIOR CHAMBER

25. HYPHAEMA

27. POST OPERATIVE HYPHAEMA

31. POST OPERATIVE ENDOPHTHALMITIS

35. CAUSATIVE ORGANISMS BACTERIA Pseudomonas aeroginosa Bacillus subtiles Proteus sps Enterobacter aerogenes Propionibacterium S.epidermidis FUNGI Aspergillus Cephalosporium Fusarium Volutella

39. PATHOGENESIS OF POST OP ENDOPHTHALMITIS

40. CLINICAL FEATURES SYMPTOMS : Pain , redness, watering, diminision of visual acuity SIGNS : Conjunctival hyperaemia, lid swelling, chemosis, cells and flare in the anterior chamber, hypopyon, membrane formation on IOL, vitreous haze, scattered retinal haemorrhages, loss of red reflex, in extreme cases corneal infiltration and opacification.

41. 3 RD DAY 1 WEEK

42. POST OP ENDOPTHALMITIS

48. ANTIBIOTICS TOPICAL SYSTEMIC Cefazolin 5% eye drops 1hrly. Or Tobramycin 1.3 % eye drops 1 hrly. Combination of Inj ceftazidime 2g iv tid and Inj vancomycin 1g iv 12 th hrly.

50. STEROIDS TOPICAL SYSTEMIC Dexamethosone or Prednisolone eye drops 1 hrly. Inj dexamethosone 8mg iv 12 hrly. Oral steroids after discontinuiong the injections.

55. POST OPERATIVE REACTION

56. RETAINED LENS MATTER

60. RETAINED LENS MATTER

62. POST CAPSULAR OPACIFICATION

67. ELSCHNIGS PEARLS

68. SOEMMERING’S RING

74. IOL WITH PCO AFTER Nd-YAG

75. LENS RELATED COMPLICATIONS

83. MALPOSITIONED IOL

87. SUN RISE SYNDROME

99. ATONIC PUPIL

103. RETINAL DETACHMENT

110. POST OPERATIVE STRABISMUS

115. RARE COMPLICATIONS

120. EPITHELIAL CYSTS

121. Epithelial downgrowth

128. DESCEMETS TEAR

131. THANK YOU