I am increasingly trying to inject Kenalog first for edema, and then doing the focal laser some time later when the edema has subsided. I think it allows one to do the laser with less energy. Recently, an article demonstrated that Kenalog alone does better in the short term but worse than laser in the long term, so I have not abandoned laser.  Inducing cataract doesn’t bother me much- let’s face it, vast majority will need phaco anyway.  Inducing uncontrolled glaucoma is only a very small risk (vast majority controlled with meds) and is outweighed by the benefit. Have others also been adopting more Kenalog?