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    Intracameral antibiotics are a win for cataract surgery prophylaxis

    Long history, proven efficacy, short learning curve add to arguments in favor of intracameral


    Clouded vision

    Dr. Mah also argued that a transzonular approach includes a suspension steroid that can potentially cloud the vision for days to weeks, and it has the potential for changing the effective lens position (ELP). “There are some case reports on the ELP changing because of the medications being placed into the anterior vitreous,” he said.

    Ultimately, intracameral antibiotics improve efficacy and the patient experience by reducing their cost and instructions. They also help surgeons have confidence that they are using the most effective means of infection prevention, without relying on patient compliance, Dr. Mah concluded.

    “Everyone is in the same boat of trying to improve the patient experience, reduce overall health care expense, and yet improve outcomes,” he said.

    Francis S. Mah, MD

    p. 585-554-7996

    e: [email protected]

    This article is adapted from a presentation that Dr. Mah delivered at the 2017 American Society of Cataract and Refractive Surgery. Dr. Mah has financial interests with Allergan, Bausch & Lomb, Novartis, Ocular Science, and PolyActiva.

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