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CommunityOphthalmology

Do you prescribe pre-operative drops prior to cataract surgery, if so which ones and why?

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Do you prescribe pre-operative drops prior to cataract surgery?

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3 Answers
Mednet MemberInvited Expert
Ophthalmology · Oregon Health & Science University
Answered on

I do not use preoperative drops. There are no published clinical trials that have established any benefit for preoperative antibiotics or NSAIDS. The strongest evidence supports preoperative povidone-iodine drops and intracameral antibiotics such as cefuroxime or moxifloxacin. This has been validate...

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Mednet Member
Ophthalmology · Albany Eye Associates
Answered on

The main reason I prescribe preoperative drops is so that patients get them ahead of time and can start using them right away after surgery.

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Mednet MemberInvited Expert
Ophthalmology · Northern Virginia Ophthalmology Associates Pc
Answered on

No, I do not. There is minimal evidence of benefit for endophthalmitis or post-op CME (cystoid macular edema) prevention from initiating eye drops before surgery. Some practices initiate drops preoperatively to get patients in the habit of taking post-op drops.

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