What do you feel are some of the advantages and disadvantages of dropless cataract surgery and what are your preferred agents?

A clear advantage of dropless surgery is that the patient no longer needs to use post-op drops. This may not necessarily present as an advantage to the surgeon, as any additional techniques will add time and cost to the cataract surgery, especially if a particular technique is not covered by insurance. Common dropless methods (intracanalicular dexamethasone or subconj/sub-tenon steroid) are non-inferior to postop topical steroids and NSAIDS for CME rate. There is also the risk of rebound inflamm...

I have gone dropless and come back to what i would call “less drops”. Let me explain.

i use intracam moxi at the end of the case, given via a 30g AC injection. My goal is to get 500 micrograms of moxi in fhe AC via about 0.2-0.25mL injection.

i also use subconjunctival Trimoxi. I do this mainly because of the steroid, as i have found regular kenalog in the dose i want is about the same cost as the trimoxi.

i then have the patient take moxi drops QID for 1 week.

my patients seem to like the ease of ...