Drop-Free Approaches for Cataract Surgery

Neal H. Shorstein; William G. Myers


Curr Opin Ophthalmol. 2020;31(1):67-73. 

In This Article

Inflammation Suppression

Table 2 lists the studies comparing triamcinolone acetonide injection to topical agents and the effects on anterior chamber inflammation and macular thickness.[18,62–66] Although the location and dosages of injection varied, the triamcinolone groups were either equivalent or better than the comparison topical group for the primary outcome variable. One study demonstrated a higher intraocular pressure (IOP) in the injection group compared to the topical group.[64] This is not surprising as injections of higher doses of steroid, closer to the limbus, are more likely to produce a rise in IOP.[67,68] A balance of dose and injection site, that is anterior enough to suppress cell and flare and yet not so anterior to cause an IOP increase, is required.