Postoperative care in cataract surgery

被引:21
作者
Shoss, Bradley L. [1 ]
Tsai, Linda M. [1 ]
机构
[1] Washington Univ, Dept Ophthalmol & Visual Sci, St Louis, MO 63141 USA
关键词
cataract surgery; complications; postoperative care; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; CYSTOID MACULAR EDEMA; INTRAOCULAR-LENS IMPLANTATION; VISUAL-ACUITY; UNCOMPLICATED PHACOEMULSIFICATION; MEDICARE BENEFICIARIES; CLINICAL-OUTCOMES; RISK-FACTORS; ENDOPHTHALMITIS; KETOROLAC;
D O I
10.1097/ICU.0b013e32835b0716
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose of review The purpose of this study is to provide a summary of current trends and recent developments in postoperative care after cataract surgery. Recent findings There is new evidence challenging the routine use of a protective eye shield after uncomplicated cataract surgery. Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective in decreasing the risk of cystoid macular edema (CME) in high-risk eyes, but must be used with caution in patients with prior corneal disease. Pre-existing ocular comorbidities can have significant effects on postoperative outcomes. Management of postoperative visual expectations can be challenging in patients receiving newer advanced technology intraocular lenses (IOLs). Summary Key practices such as restrictions on activities, prophylactic regimens against infection and inflammation, appropriate follow-up with adjustments for individual risk factors and management of complications, and continuing care until visual rehabilitation is complete are advised to optimize visual outcome for patients after cataract surgery.
引用
收藏
页码:66 / 73
页数:8
相关论文
共 59 条
[1]   Conventional routine clinical review may not be necessary after uncomplicated phacoemulsification [J].
Allan, BDS ;
Baer, RM ;
Heyworth, P ;
Graham, I ;
Duguid, M ;
Dart, JKG .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1997, 81 (07) :548-550
[2]   First day review after uncomplicated phacoemulsification: Is it necessary? [J].
Alwitry, A. ;
Rotchford, A. ;
Gardner, I. .
EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2006, 16 (04) :554-559
[3]  
American Academy of Ophthalmology Cataract and Anterior segment Panel, 2011, PREF PRACT PATT GUID
[4]   Response to 'Shield or not to shield? Postoperative protection after modern cataract surgery' [J].
Banerjee, P. ;
Elgohary, M. .
EYE, 2012, 26 (05) :750-751
[6]  
Barsam Allon, 2012, Int Ophthalmol Clin, V52, P95, DOI 10.1097/IIO.0b013e31824b439c
[7]  
BELAIR M, 2009, AM J OPHTHALMOL, V148
[8]   Incidence of Cystoid Macular Edema after Cataract Surgery in Patients with and without Uveitis Using Optical Coherence Tomography [J].
Belair, Marie-Lyne ;
Kim, Stephen J. ;
Thorne, Jennifer E. ;
Dunn, James P. ;
Kedhar, Sanjay R. ;
Brown, Diane M. ;
Jabs, Douglas A. .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2009, 148 (01) :128-135
[9]   Comparison of bromfenac 0.09% QD to nepafenac 0.1% TID after cataract surgery: pilot evaluation of visual acuity, macular volume, and retinal thickness at a single site [J].
Cable, Melissa .
CLINICAL OPHTHALMOLOGY, 2012, 6 :997-1004
[10]  
Cervantes-Coste G, 2009, CLIN OPHTHALMOL, V3, P219