Instructional Course: Endophthalmitis after cataract surgery & intravitreal injections

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Video Title: Instructional Course: Endophthalmitis after cataract surgery & intravitreal injections


This is an instructional course on the prevention and management of endophthalmitis following cataract surgery and intravitreal injections (IVT).
Most of the instructors are members of the ESCRS Endophthalmitis Study Group and were partners in the landmark ESCRS study on antibiotic prophylaxis of endophthalmitis following cataract surgery. The authors of the ESCRS Guidelines are included in the faculty.
The proven role of prophylactic povidone iodine and intracameral cefuroxime for cataract surgery – based on the ESCRS endophthalmitis study outcome and on subsequent published clinical reviews on the benefits of intracameral antibiotics from Sweden and several other countries (Europe, America, Asia)- will be presented, along with some fundamentals of antibiotic PK/PD in the eye.
IVT has become a common procedure in ophthalmology and many patients receive repeated periodical injections. One of the most serious complications of IVT is infectious endophthalmitis, with a reported incidence of around 0.02% for each single injection, but much higher after the multiple repeated injections that a patient often receives. Data from the Swedish macula registry, ESCRS-EURETINA registry and published reports will be analyzed.
The best method for infection prophylaxis is not clear and topical antibiotics do not seem to offer any benefit and may induce bacterial resistance after repeated use. Currently the only clearly recommended measure is povidone-iodine antisepsis. These and other factors involved (use of face masks, speculum, etc) will be discussed.
The course will teach the clinical, differential and laboratory diagnosis of post-cataract and post-IVT endophthalmitis, including distinguishing infectious endophthalmitis from Toxic Anterior Segment Syndrome (TASS). Investigation will include video footage on how to perform diagnostic and therapeutic vitrectomy with intravitreal antibiotic injection.


1.58 – 11.30 Luis Cordoves: Prophylaxis, intracameral cefuroxime
11.35 – 32.45 Per Montan: Bacteriology and treatment outcome after endophthalmitis in Sweden in the era of intracameral cefuroxime in cataract surgery
33.00 – 47.19 Suleyman Kaynak: Utilization of the I/C route of antibiotic administration to prevent postoperative endophthalmitis
47.20 – 54.25 Suleyman Kaynak: Clinical diagnosis
54.28 – 1.17.45 Tat Keong Chan: Excessive Inflammation After Cataract Surgery: TASS
1.18.00 – 1.24.58 All speakers: Intravitreal Injections
1.25.00 – 1.39.30 Per Montan: Endophthalmitis following IVT – the extent of the problem
1.39.32 – 2.00.30 Luis Cordoves: Treatment

Presenter/Interviewer:Luis Cordoves is the lead instructor

Video Category: Advanced Instructional Courses

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