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Dropless Cataract Surgery: Redefining Postoperative Care

Evidence and UKISCRS guidance supporting dropless cataract surgery in routine practice

By Bita Manzouri, Andrzej Grzybowski , David Lockington 2/9/2026 0 min read

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Topical eye drops have traditionally been a mainstay in the postoperative care of cataract surgery, but dropless cataract surgery (DCS) now offers a viable alternative by administering medications intraoperatively. This shift addresses compliance issues inherent in traditional drop regimens, particularly for elderly patients experiencing challenges with medication administration. Evidence, including recent guidelines from the UKISCRS, suggests that DCS effectively improves patient outcomes, reduces healthcare costs, and aligns practice with sustainability goals. These recommendations emphasize the importance of intracameral antibiotics and subconjunctival corticosteroids while minimizing the reliance on postoperative drops.

About the Author(s)

Bita Manzouri

Bita Manzouri is a Consultant Ophthalmologist in Romford, UK & President Elect of UKISCRS

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Andrzej Grzybowski

Andrzej Grzybowski is a professor of ophthalmology at the University of Warmia and Mazury, Olsztyn, Poland, and the Head of Institute for Research in Ophthalmology at the Foundation for Ophthalmology Development, Poznan, Poland. He is EVER President, Treasurer of the European Academy of Ophthalmology, and a member of the Academia Europea. He is a member of the International AI in Ophthalmology Society (https://iaisoc.com/) and has written a book on the subject that can be found here: https://link.springer.com/book/10.1007/978-3-030-78601-4.

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David Lockington

David Lockington is a Consultant Ophthalmologist based in Glasgow, UK, and current President of UKISCRS.

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