PubMed · 11599321
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S Sanmugasunderam, K Romanchuk. 2001-10-02. Prioritization for cataract surgery.. https://pubmed.ncbi.nlm.nih.gov/11599321/
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Descemet membrane detachments are not uncommon following cataract surgery, and large and extensive detachments can have an impressive presentation, with severe corneal edema and marked reduction in visual acuity. Traditional treatment regimens have included observation (with the hopes of spontaneous resolution), anterior chamber injections of air or viscoelastic, transcorneal suturing, and even corneal transplantation for persistent cases. During the past few years, intracameral injection with either sulfur hexafluoride (SF6) or perfluoropropane (C3F8) gas has gained increasing acceptance as an efficient and effective treatment option for Descemet membrane detachments. Previously described techniques of gas injection have required corneal and paracentesis incisions; sterile blades, cannulas, and other instruments; and occasionally, an operating room setting. We describe a simple, safe, and effective technique for intracameral gas injection that can be performed by one person at the slitlamp microscope or in a minor operating room with minimal equipment.
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Postoperative endophthalmitis is a rare, albeit serious, complication of cataract surgery. Over the years, preoperative and operative measures, such as lid hygiene, appropriate surgical draping, and improved surgical technique, have all decreased the incidence of postoperative endophthalmitis. Commonly used prophylactic measures include preoperative topical, intracameral, and postoperative topical antibiotics. Since the landmark study done by the endophthalmitis vitrectomy study group, treatment has usually consisted of intravitreal antibiotics with or without pars plana vitrectomy (depending on the patient population). In this review, we have focused on advances in the field of endophthalmitis within the last year. These include articles examining treatment and complications of diabetic patients and those with retinal detachments, bacterial adherence to lenses, prophylactic measures, and addition of steroids to conventional treatments of endophthalmitis.