NOV 06, 2017
Cataract/Anterior Segment, Uveitis
In this presentation from AAO 2016, Nisha Acharya, MD, MS, provides her top-5 pearls in managing complicated cataract cases.
- Uveitis quiescence
- Perioperative immunosupression
- If pressure is elevated, consider combined glaucoma and cataract surgery or consider an implant (e.g., Retisert).
- Frequent postoperative follow-up, tailoring it to the patient
- Counseling is critical, e.g., undiagnosed pathology.
In summary, do not operate unless uveitis is controlled for at least 3 months, perioperative immunosupression is important in noninfectious uveitis, combined surgery might be advised in some cases, frequent postoperative monitorining is important for increased inflammation and CME, and provide counseling.