Corneal edema can occur after cataract surgery due to a number of factors such as a higher degree of ultrasonic energy or more fluid being using during surgery. Also, operating closer to the corneal endothelium and difficulty with pivoting within incisions will influence the degree of corneal compromise after surgery. Fortunately, in almost all cases the corneal edema resolves with time and the patient achieves a good visual outcome.
Having a clear cornea on post-op day one makes for incredibly happy patients. And the surgeon is quite happy, too. There are steps you can take to achieve this goal. These “secrets” are well-known to advanced and highly talented surgeons, but are often a mystery to the newer and less-experienced ophthalmologists.
Click below to learn my secrets of avoiding corneal edema after cataract surgery:
Dr Uday, very important points explained lucidly. Thank you
You are very welcome.
I concur with Jose “Dr. Uday, very clear points, the best is to avoid edema, but if you have it, how do you treat post-op corneal edema.” Dr. Uday, could you elaborate on the use of prednisolone after a dense cataract removal that presents with post op corneal edema which has improved significantly over a four week period. Specifically, how should continued use of prednisolone be balanced with tapering to optimizing healing as it may relate to trauma sustained by the endothelium.
Dr. Uday, very clear points, the best is to avoid edema, but if you have it, how do you treat post-op corneal edema. Thank you !