Unique Cataract Challenges Versus Postoperative Success

Performing cataract surgery in patients with herpetic disease is not straightforward, so it’s crucial to plan ahead and to choose your timing (and the IOL) carefully – but remember that a successful outcome is not out of reach

By Kenneth Beckman

June 2017

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.