NOV 06, 2017
Cornea Subspecialty Day 2016
Cornea/External Disease, Dry Eye , Ocular Surface Disease , Pterygium
Dr. Barry Lee offers strategies on how to manage ocular surface disease before cataract surgery. Prior to surgery, he suggests treating dry eye and Meibomian gland disease and removing epithelial basement membrane dystrophy (EBMD), pterygium, and Salzmann nodules. Cataract surgery can then commence after the ocular surface normalizes, which could take anywhere from 6 to 12 weeks. Dr. Lee also recommends repeating biometry and topography prior to surgery. Pre- and postoperative management techniques include preservative-free lubricants, punctal occlusion, topical cyclosporine, lifitegrast, low-potency topical steroids, oral secretagogues, autologous serum, and systemic immunosuppression.