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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Ophthalmology

Advisor

Dr. Reid

Abstract

Cataracts are the leading cause of treatable blindness world-wide. Surgically removing a symptomatic cataract improves a person’s visual function and overall quality of life. Small-incision phacoemulsification is currently the standard of care for cataract surgery, and is touted as one of the most frequently performed surgeries in developed countries.1 Complications of cataract surgery can lead to edema of the macula, pseudophakic cystoid macular edema (PCME), and potential decrease in vision. Prevention and treatment of PCME is a heavily debated topic in ophthalmology. Literature does not support a best practice method for preventing PCME and therefore, it is questioned what is the safest, most potent prophylactic drug regimen that is cost effective for the cataract patient. This paper discusses PCME, the role of anti -inflammatory agents, the research in prevention of PCME, and how the lack of a best practice method affects the patient.

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