What options would you consider for removing dense fibrin deposits from an IOL in a patient with chronic uveitis?
Pre-treat with a steroid and nonsteroid drop, use a low-power YAG laser anterior offset to remove, and post op continue with pre op regimen for as long as recurrence is necessary, then slowly taper off.
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First, to ensure uveitis is adequately controlled before intervention, ongoing or recurrent intraocular inflammation increases postoperative inflammatory risk.
If I am to do a YAG, I would want the patient to have no inflammation for 1-2 months. If I am to do a surgery, you would need to wait longer...
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When they are quiet, a YAG works fine.
But caution them, it often comes back with the next round or 2 of inflammation.
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