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C.J. Clark, K. Samaras, M. Tappin, G. Saleh, J. McHugh; Phacoemulsification Without Post–Operative Drops . Invest. Ophthalmol. Vis. Sci. 2006;47(13):678.
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© ARVO (1962-2015); The Authors (2016-present)
To describe an effective method of post–operative care in phacoemulsification without the administration of drops using per–operative intracameral cefuroxime and posterior subtenons triamcinolone.
A prospective, non–controlled study was undertaken involving 120 patients who underwent phacoemulsification using per–operative prophalactive subtenons triamcinolone and intracameral cefuroxime. The triamcinolone was introduced into the subtenons space using a blunt canula via the same incision used for the local anaesthetic.
1 patient required additional topical steroids for mild post–operative uveitis. No other complications such as raised intraocular pressure or cystoid macular oedema were noted. There was a high level of patient satisfaction.
Posterior subtenons triamcinolone and intracameral cefuroxime given during phacoemulsification is effective in preventing post–operative complications such as infection, inflammation and rise in intraocular pressure. This technique no longer requires patients to self–administer antibiotic and steroid drops, thereby enhancing convience, satisfaction and avoiding any source of confusion. Compared with accepted standard practice this regime is superior.
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