(1)
St. Johns, FL, USA
(2)
Helen Keller Foundation for Research and Education, International Society of Ocular Trauma, Birmingham, AL, USA
(3)
Consultant and Vitreoretinal Surgeon, Milos Eye Hospital, Belgrade, Serbia
(4)
Consultant and Vitreoretinal Surgeon, Zagórskiego Eye Hospital, Cracow, Poland
Many VR surgeons perform several operations a day. What is the most optimal order to follow?
There are certain rules that should be broken only if a strong reason to do so exists.
Patients with an infectious systemic condition1 should be operated as the final case of the day.
Patients with an infectious ocular condition (endophthalmitis) should be operated as the final case of the day.2
If the endophthalmitis requires immediate surgical intervention, the OR must be thoroughly disinfected before the normal daily schedule can be resumed.3
Patients freshly arriving with open globe trauma4 may require very early surgery (if the risk of ECH is high) or can wait until the end of the day. Among the many factors determining the timing are the risk of endophthalmitis; the type, length, and location of the wound; and the age and systemic condition of the patient, including his willingness to cooperate.
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
