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Pharmacologic considerations for cataract surgery.

Richard Tipperman1

  • 1Wills Eye Hospital, Philadelphia, Pennsylvania 19106, USA. rtipperman@mindspring.com

Current Opinion in Ophthalmology
|January 27, 2004
PubMed
Summary

Recent literature supports intracameral vancomycin for cataract surgery. New fluoroquinolones and triamcinolone use are also reviewed, impacting surgical medication regimens.

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Area of Science:

  • Ophthalmology
  • Pharmacology

Background:

  • Cataract surgery involves various perioperative, intraoperative, and postoperative medication choices.
  • Certain aspects of ophthalmic pharmacology in cataract surgery remain subjects of ongoing discussion and research.

Purpose of the Study:

  • To review recent literature on controversial medication topics in cataract surgery.
  • To provide insights into current pharmacological options for anterior segment surgeons.

Main Methods:

  • Literature review of recent studies on ophthalmic medications for cataract surgery.
  • Analysis of clinical properties of new fluoroquinolones.
  • Discussion of pharmacologic adjuncts and corticosteroid use.

Main Results:

  • Recent findings suggest a rationale for using intracameral vancomycin during cataract surgery.
  • The clinical properties of newer fluoroquinolones, moxifloxacin and gatifloxacin, are examined.
  • The application of intravitreal triamcinolone, both during and after surgery, is discussed.

Conclusions:

  • Advances in ophthalmic pharmacology offer updated options for surgeons.
  • These advancements can influence preoperative, intraoperative, and postoperative medication strategies in cataract surgery.

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