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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)
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
 
CORNEAL OEDEMA
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ETIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object]
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MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
WOUND LEAK
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CAUSES OF WOUND LEAK ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
WOUND LEAK(SIEDELS TEST)
MANAGEMENT ,[object Object],[object Object]
SHALLOW ANTERIOR CHAMBER
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SHALLOW ANTERIOR CHAMBER
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
HYPHAEMA
SOURCES OF  HYPHAEMA ,[object Object],[object Object],[object Object],[object Object]
POST OPERATIVE HYPHAEMA
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object],[object Object]
POST OPERATIVE    ENDOPHTHALMITIS
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SOURCES OF INFECTION ,[object Object],[object Object],[object Object]
[object Object],[object Object]
CAUSATIVE ORGANISMS BACTERIA Pseudomonas aeroginosa Bacillus subtiles Proteus sps Enterobacter aerogenes Propionibacterium S.epidermidis FUNGI Aspergillus Cephalosporium Fusarium Volutella
 
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[object Object]
PATHOGENESIS OF POST OP   ENDOPHTHALMITIS
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.
3 RD  DAY 1 WEEK
POST OP ENDOPTHALMITIS
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PREOPERATIVE MEASURES ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Usage of topical antibiotics  preoperatively
INTRAOPERATIVE MEASURES ,[object Object],[object Object],[object Object]
TREATMENT OF ESTABLISHED ENDOPHTHALMITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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.
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STEROIDS TOPICAL SYSTEMIC Dexamethosone or Prednisolone eye drops 1 hrly. Inj dexamethosone 8mg iv 12 hrly. Oral steroids after discontinuiong the injections.
[object Object],[object Object]
[object Object],[object Object]
[object Object]
Post operative endophthalmitis Post operative reaction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POST OPERATIVE REACTION
RETAINED LENS MATTER
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
RETAINED LENS MATTER
 
POST CAPSULAR OPACIFICATION
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
 
ELSCHNIGS PEARLS
SOEMMERING’S RING
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
IOL WITH  PCO  AFTER Nd-YAG
LENS RELATED COMPLICATIONS
[object Object],[object Object],[object Object]
IOL MALPOSITIONS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
DIFFERENT KINDS OF MALPOSITIONS ,[object Object],[object Object]
MALPOSITIONED IOL
[object Object]
[object Object]
 
SUN RISE SYNDROME
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[object Object]
CLINICAL FEATURES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IOL INDUCED COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
ATONIC PUPIL
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
RETINAL DETACHMENT
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
POST OPERATIVE STRABISMUS
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
RARE COMPLICATIONS
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
EPITHELIAL CYSTS
Epithelial  downgrowth
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DESCEMETS TEAR
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

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