How do you approach perioperative steroids for a quiescent uveitis patient undergoing cataract surgery?

Preop:

If the patient is using topical steroids chronically, I increased the dose of the drops to four times a day the week prior to surgery.

If the patient is using chronic oral prednisone, I will increase the prednisone to 0.5 mg/kg, 3 days prior to surgery, followed by a quick taper every 3 days...

I do subconjunctival Kenalog after routine cataract surgery, and unless the patient has had multiple bouts of difficult uveitis, I do not do any pre-operative steroid and will just see how they react post-operatively.

Most do very well with just the subconjunctival Kenalog and do not need any furthe...

I agree with Dr. @Dr. First Last I think every patient who has had uveitis before requires more steroids perioperatively. For everybody, I do more frequent prednisolone, generally every two hours while awake after surgery.

For those with posterior/pan/intermediate uveitis, especially when it was tou...