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CME FOLLOWING CATARACT SURGERY: IS 2ND EYE SUSCEPTIBLE?

onecat posted:

Hello - 77 yr old recovering from CME (just responded to your other post) ...what are the chances that the same complication will occur with the 2nd eye?
And considering the patient's history with the first eye are there any prohylactic medications/injectons, now available etc. to help prevent this condition ?
Thanks in advance for your kind help.

3 Replies |Watch This Discussion | Report This| Share this:CME FOLLOWING CATARACT SURGERY: IS 2ND EYE SUSCEPTIBLE?Hello - 77 yr old recovering from CME (just responded to your other post) ...what are the chances that the same complication will occur with the 2nd eye? And considering the patient's history with the first eye are there any prohylactic medications/injectons, now available etc. to help prevent this condition ? Thanks in advance for your kind help.

Alan M Kozarsky, MD responded:

Yes, there is a increased chance of macular swelling on the second eye as well. We would certainly want the first eye to be at a state of maximum recovery before considering surgery on the second eye. That being said, it would be reasonable to consider using preoperative steroid and non-steroidal anti-inflammatory drops one or more weeks before surgery and for an extending time after surgery.

Report This| Share this:CME FOLLOWING CATARACT SURGERY: IS 2ND EYE SUSCEPTIBLE?Yes, there is a increased chance of macular swelling on the second eye as well. We would certainly want the first eye to be at a state of maximum recovery before considering surgery on the second eye. That being said, it would be reasonable to consider using preoperative steroid and non-steroidal anti-inflammatory drops one or more weeks before surgery and for an extending time after surgery.

onecat replied to Alan M Kozarsky, MD's response:

We intend to wait a long time regarding the 2nd eye ... per my other posts - 2nd eye has an above-normal OCT of 297/ 20/60 Snellen so patient is very apprehensive and will not agree to surgery at the present time...
We dont understand 'why' surgeon didn't operate on the eye that has the above reading of 20/60 & leave the 20/40 eye for the last ? (both read OCT 297 prior to first surgery). Thanks again

Report This| Share this:CME FOLLOWING CATARACT SURGERY: IS 2ND EYE SUSCEPTIBLE?We intend to wait a long time regarding the 2nd eye ... per my other posts - 2nd eye has an above-normal OCT of 297/ 20/60 Snellen so patient is very apprehensive and will not agree to surgery at the present time... We dont understand 'why' surgeon didn't operate on the eye that has the above reading of 20/60 & leave the 20/40 eye for the last ? (both read OCT 297 prior to first surgery). Thanks again

Alan M Kozarsky, MD replied to onecat's response:

Why are maculas thickened? There seems to be another cause other than postoperative cystoid macular edema. Diabetes?? Pre existing macular pucker ??

In any case, cataract surgeons are commonly required to operate on cataracts in patients who have both cataract and macular disease. In such cases, addressing the cataract component of the decreased vision can be a source of visual improvement and care is taken to make sure that a macula is not adversely affected by the surgery.

Report This| Share this:CME FOLLOWING CATARACT SURGERY: IS 2ND EYE SUSCEPTIBLE?Why are maculas thickened? There seems to be another cause other than postoperative cystoid macular edema. Diabetes?? Pre existing macular pucker ?? In any case, cataract surgeons are commonly required to operate on cataracts in patients who have both cataract and macular disease. In such cases, addressing the cataract component of the decreased vision can be a source of visual improvement and care is taken to make sure that a macula is not adversely affected by the surgery.

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