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