My 80-year-old mother just had cataract surgery 18 days ago. She was able to see great the next day, then she had decreased vision and watery eye with tear drops running down her face. At her first post-op follow-up at 18 days it was discovered she has CME. The ophthalmologist added NSAID drops to her prednisolone drops. Now my mom's next (second) follow-up visit is in 6 weeks. I feel 6-weeks is too long to wait for a follow up visit after being diagnosed with CME. While your video is encouraging, I hope everything works out for my mom.

@Isaiah.4110

Жыл бұрын

Hello Gregory, could you please update your mother’s CME? I have CME and had been instilling prednisolone and prolensa drops for over a week and still hadn’t healed much. My next appointment is on 6/8

Great as usual doctor✅

Little early for postop uncomplicated cataract cme .

Put only dipludronate drops?

Sir, have seen few CME after intracameral moxifloxacin injections here in India. Have use commercially available intracameral preparations. Have you come accross such cases sir..? Thanks

Thanks for intriguing topic doc. in our clinic we had so many times this situation.We checked all probabilities but we didnt find anything.Eventually we decided that this situation became due to surge but we didnt find any literature knowledge..what do you think about our theory

Qhich was the treatment? Medicine and the doses?

dear dr, im a young md looking perhaps to jump into the opthamology train, i have a quick question regarding the biometry markers in the video, as im reading the numbers i assume it means that the right eye is slightly larger in all its structures compared to the left eye, am i correct in thinking so? thank you

Was she the mother of your best referring optometrist?

Can moist heat pack cause CME? I’ve got cystoid macular edema in my left eye more than 4 months after cataract surgery just after I put moist heat pack on my eyes.

you do all this preoperative imagings for all cataract surgery candidated patients?!!! macular and rnfl oct for all patients?!!!

@shimerudono6778

2 жыл бұрын

im a resident who works in a small scale city in Turkey, even we do all these test routinely for our cataract surgeries

@sibelius4671

2 жыл бұрын

I at least get a Mac OCT. honestly the more tests the better because once you touch the patient everything afterwards is your fault unless proven otherwise. Especially wanna make sure patients are good candidates for any premium IOL. We only bill for the screening tests if there’s a pathology though

@ataasiaei1431

2 жыл бұрын

@@shimerudono6778 bende iran'da residentim, ama burada bukadar imaging yapmıyoruz 😅

@ataasiaei1431

2 жыл бұрын

@@sibelius4671 i agree with you, but what about the cost?!! benefit or burden, thats the question 😄🤷🏻‍♂️

Thanks very much! Very interesting topic. Can you tell us your postoperative drip scheme in case of CME? I would also be interested in the schemes of other colleagues. I myself like to give tropical steroids 6x daily and nepafanac 3x daily, if insufficient effect or very strong edema: acetazoamide 250mg 2x daily, if not well tolerated or still poor response: prednisone 60mg/day 3d, then rapid reduction. If recurrence parabulbar Triamcinolone. It can be very frustrating at times and requires a lot of patience from the doctor and patient!

@ibtissammansouri6851

2 жыл бұрын

What about subtenonien Kenalog?

@gundolfwestphal

2 жыл бұрын

Of course that is also possible. Do you do this as an office procedure? I would go to the OR for that. Parabulbar, this can be done well in a sitting position without the need for an operating room.

@ibtissammansouri6851

2 жыл бұрын

@@gundolfwestphal OR also for subtenonien

@gundolfwestphal

2 жыл бұрын

Thanks for your reply!

@Luis-df2kt

2 жыл бұрын

@@ibtissammansouri6851The Kenalog I received gave me a post subcapsular cataract