cataract patient care october 3, 2012 giovanni caboto club dr. barry emara past chief department of...
TRANSCRIPT
![Page 1: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/1.jpg)
Cataract Patient CareCataract Patient Care
October 3, 2012
Giovanni Caboto Club
Dr. Barry Emara
Past Chief
Department of Ophthalmology
Hotel Dieu Grace Hospital
1
![Page 2: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/2.jpg)
Objectives Diagnose and differentiate between types of
cataracts Know when to refer for assessment Basic knowledge of available intraocular lenses Basic understanding of technique Understand post-operative management and
recognize major complications
2
![Page 3: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/3.jpg)
Outline Anatomy of the eye and lens Diagnosis of a Cataract History of Cataract Surgery Pre-operative Discussion Technique Intraocular Lenses Intraoperative Challenges Post-operative Management
3
![Page 4: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/4.jpg)
4
![Page 5: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/5.jpg)
Anatomy of the eye
5
![Page 6: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/6.jpg)
Anatomy of the eye
6
![Page 7: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/7.jpg)
Anatomy of Human Lens
7
![Page 8: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/8.jpg)
Diagnosis of a Cataract
8
![Page 9: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/9.jpg)
Diagnosis of a Cataract
SYMPTOMS• Blurred vision• Gradually progressive • Painless
9
![Page 10: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/10.jpg)
Diagnosis of a Cataract
Signs of Cortical Cataract• Spokes in red reflex
10
![Page 11: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/11.jpg)
Diagnosis of a Cataract
Signs of nuclear cataract• Oil droplet red reflex
11
![Page 12: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/12.jpg)
Nuclear Cataract
12
![Page 13: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/13.jpg)
History
13
![Page 14: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/14.jpg)
History
India 600 BC
14
India 600 BC India 600 BC
![Page 15: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/15.jpg)
History
Extracapsular cataract extraction
Jacques Daviel Paris 1748
15
![Page 16: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/16.jpg)
History
1940’s Sir Harold Ridley Intraocular lenses
16
![Page 17: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/17.jpg)
History
Phacoemulsification Charles Kelman New York 1960’s
17
![Page 18: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/18.jpg)
History
Viscoelastics Foldable
IOLs
18
![Page 19: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/19.jpg)
Pre-operative Discussion
19
![Page 20: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/20.jpg)
Pre-operative Discussion
Age Health (i.e. able to lie on back) Medication (Alpha-blockers) Visual needs Refractive error (myopes will
need reading glasses)
20
![Page 21: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/21.jpg)
Pre-operative Discussion
Informed consent• Risks
• Benefits
• Alternatives
21
![Page 22: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/22.jpg)
Pre-operative Discussion
IOL selection1. Monofocal (foldable vs. rigid)
• Toric
• Aspheric
• Filtering
2. Multifocal• Toric
• Aspheric
• Filtering
3. Accommodative
22
![Page 23: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/23.jpg)
Pre-operative Discussion
Pre-treatment with topical medication• Antibiotic
• NSAID
23
![Page 24: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/24.jpg)
Technique
24
![Page 25: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/25.jpg)
25
![Page 26: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/26.jpg)
Video
CATARACT SURGERY PART 1
26
![Page 27: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/27.jpg)
Technique
Instrumentation• Blades (keratomes, paracentesis etc.)
• Visco devices
• Second instruments (choppers, spatula etc.)
27
![Page 28: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/28.jpg)
Technique
28
![Page 29: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/29.jpg)
Technique
Instrumentation• Phacoemulsification
machines• Venturi-type pump
29
![Page 30: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/30.jpg)
Technique
Nuclear Removal• Phaco chop
• Divide and conquer
• Chip and flip
30
![Page 31: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/31.jpg)
31
![Page 32: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/32.jpg)
Video
CATARACT SURGERY PART 2-Nuclear removal
32
![Page 33: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/33.jpg)
Intraocular Lenses
33
![Page 34: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/34.jpg)
Intraocular Lenses
1. Monofocal (foldable vs. rigid) • Toric
• Aspheric
• Filtering
2. Multifocal• Toric
• Aspheric
• Filtering
3. Accommodative
34
![Page 35: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/35.jpg)
IOL selection
Rigid• Polymethylmethacrylate (PMMA)
35
![Page 36: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/36.jpg)
IOL selection
Foldable • Silicone
• Acrylic
36
![Page 37: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/37.jpg)
Toric Lenses
37
![Page 38: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/38.jpg)
Toric Lenses
Designed to correct corneal astigmatism
Available in cylinder powers from 1.5 to 6.00 diopters
38
![Page 39: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/39.jpg)
Aspheric Lenses
39
![Page 40: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/40.jpg)
Basis for Aspheric IOLsMinimize positive spherical aberration
inherent in conventional IOLs Improve image quality over that of
conventional IOLs
Spherical Aspherical 40
![Page 41: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/41.jpg)
Real world IOL results 25% reduction in contrast sensitivity
with a spherical IOL vs. aspheric IOL
Spheric IOL Aspheric IOL 41
![Page 42: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/42.jpg)
Reduced Contrast Sensitivity
Leads to difficulties in:– Driving at night, or in rain or fog– Judging distances– Walking down steps– Recognizing faces– Reading instructions on a medicine
container– Navigating unfamiliar environments
42
![Page 43: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/43.jpg)
Filtering Lenses
43
![Page 44: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/44.jpg)
Filtering Lenses
Cataract extraction removes eye’s natural blue light filter
Retina exposed to higher levels of blue light than before
Filtering lenses block much of the blue/violet wavelength similar to the normal non-cataractous human lens
44
4gKElydm
![Page 45: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/45.jpg)
Accommodative Lenses
45
![Page 46: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/46.jpg)
Accommodative Lenses
Accommodative IOLs have hinges to mimic the accommodative process of the natural lens
Reduce dependence on reading glasses
46
![Page 47: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/47.jpg)
Accommodative Lenses
DUAL OPTIC IOL Dual optic IOL will
likely provide enhanced amplitude of accommodation
Will require highly precise pre-operative biometry calculations
47
![Page 48: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/48.jpg)
Light Adjustable Lens
48
![Page 49: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/49.jpg)
Video
CATARACT SURGERY PART 3-Intraocular lens implantation
49
![Page 50: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/50.jpg)
Intraoperative Challenges
50
![Page 51: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/51.jpg)
Intraoperative challenges
•Small pupil
•Dense cataract
51
![Page 52: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/52.jpg)
Intraoperative Challenges
Management of small pupil MECHANICAL/SURGICAL
1. Two-instrument Iris Stretch (Kuglen or Y-Hooks)
2. Iris Stretch: Beehler Device(2 or 3 pronged instrument)
52
![Page 53: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/53.jpg)
Intraoperative Challenges
Management of small pupilIris Retractors/Hooks
• Iris retractors (silicone or titanium) use silicone cinches to adjust the iris position
53
![Page 54: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/54.jpg)
Intraoperative Challenges
Management of dense cataract
• Capsular dyes (vision blue)
54
![Page 55: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/55.jpg)
Post-operative management
55
![Page 56: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/56.jpg)
Post-operative management
Follow-up• One day
• One week
• One month
56
![Page 57: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/57.jpg)
Post-operative management
Topical medication• Antibiotic
• Nsaid
• steroid
57
![Page 58: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/58.jpg)
Post-operative complications
58
![Page 59: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/59.jpg)
Post-operative complications
Iris prolapse• Iris repositioning
• Pupil constricting injection
59
![Page 60: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/60.jpg)
Post-operative complications
Post-operative inflammation• Steroid
• Manage IOP
60
![Page 61: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/61.jpg)
Post-operative complications
Endophthalmitis• Endophthalmitis vitrectomy study
– Vitreous tap and intravitreal antibiotic injection
– Vitrectomy and intravitreal antibiotic injection
61
![Page 62: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/62.jpg)
62
![Page 63: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/63.jpg)
References
1. Khan BU. An Update on Advanced Intraocular Lens Technology: Monofocal IOLs. Ophthalmology Rounds Dept. of Ophthalmology and Vision Sciences, Faculty of Medicine, University of Toronto 2007;5:4.
2. Aarnisalo EA. Effects of yellow filter glasses on the results of photopic and scotopic photometry. Am J Ophthalmol 1988;105:408-11.
3. Mainster MA. Violet and blue light blocking intraocular lenses: photoprotection versus photoreception. Br J Ophthalmol 2006;90:784-792.
4. Jackson GR. Pilot study on the effect of a blue-light-blocking IOL on rod-mediated (scotopic) vision. In: American Society for Cataract and Refractive Surgery: April 15-20, 2005; Washington, DC.
5. Kohnen T, Koch DD. Cataract and Refractive Surgery. Springer 2006.
63
![Page 64: Cataract Patient Care October 3, 2012 Giovanni Caboto Club Dr. Barry Emara Past Chief Department of Ophthalmology Hotel Dieu Grace Hospital 1](https://reader035.vdocuments.us/reader035/viewer/2022070306/5517e4be550346d0568b4680/html5/thumbnails/64.jpg)
THANK YOU
64