Program list

Post cataract surgery endophthalmitis

Cesare Forlini

Ravenna, Italy

Acute post surgical endophthalmitis is always a very serious event which needs accurate monitoring and urgent intervention when signs and symptoms get worse. Sometimes the surgeon is faced with very advanced stages of endophthalmitis which have seriously compromised the eye ball. In these cases, the first goal is to save the eye ball which would otherwise be destined to phthisis and secondly, to achieve the best functional results. The video shows some cases of advanced endophthalmitis where we use early injection of heavy liquid to guarantee higher safety to the vitrectomy, which is performed in a difficult condition. The fixation of the posterior retinal surface with HL allows us to perform the manoeuvres in a fast and safe way both on the anterior vitreous and the retinal surface thanks to the “working under PFCL” techniques. In this situation, the heavy liquid bubble is a third hand as an atraumatic hydrodinamic manipulator.