Prophylactic Kenalog at Phaco for Diabetic Macular Edema
March 3, 2009
I came across this article that discusses diabetic macular edema after phaco. Lately, I have been injecting Kenalog after I finish my phaco in patients with diabetic maculopathy who I have treated with laser. Nothing is more frustrating than loss of vision due to worsening CSME after phaco. I have to figure the benefits far outweigh the risks. For sure, I inject those patients who I couldn’t treat or treat adequately pre-op due to the cataract, as those patients will surely deteriorate. But again, even in stable dry maculas, I am injecting. For patients with BDR without any edema, I am not injecting.
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