At a Glance
- Cataract surgery in patients with herpetic disease can pose unique challenges but, with the right planning, you can achieve great results
- Before surgery, you need to identify a “quiet window”, get your readings, and decide upon the appropriate surgical approach. It’s also important to pick the right IOL
- During surgery, be sure to protect the surface of the eye, beware of floppy irides, and consider using Trypan blue for better visualization in cloudy corneas
- When it comes to follow-up, medication management is key; be aware of the medications your patient was on before surgery, and plan accordingly
Cornea specialists encounter many patients with herpetic disease – and these patients can pose unique problems when it comes to performing cataract surgery. However, with the right planning and management, you can achieve the best outcome for the patient. I like to break my own management into three stages: preoperative, intraoperative and postoperative considerations.