Using nonsteroidal anti-inflammatory drugs to prevent retinal macular edema after age-related cataract phacoemulsification

Abstract

Retinal macular edema is the most relevant complication of age-related cataract surgery with a poor prognosis for visual function, manifested in the long-term follow-up. Numerous clinical studies indicate that local forms of various nonsteroidal anti-inflammatory drugs (NSAIDS) are effective for the prevention of macular edema (ME) after phacoemulsification. The paper, based on extensive clinical data involving 140 patients, shows that the use of different NSAIDS (indomethacin, nepafenac, ketorolac and bromfenac) after uncomplicated phacoemulsification of age-related cataract in the absence of underlying risk factors contributes to the effective prevention of increased thickness and volume of the retinal macula, prevents the formation of clinically significant ME, and improves visual acuity (which averagely achieves 0.95-0.97). The expanded range of drugs used for the prevention of postoperative macular edema should positively affect the quality of the rehabilitation of patients after cataract phacoemulsification // Russian Ophthalmological Journal, 2016; 2: 77-82 . doi: 10.21516/2072-0076-2016-9-2-77-82 .

Keywords

• возрастная катаракта
• факоэмульсификация
• макулярный отек
• профилактика
• нпвс
• age-related cataract
• phacoemulsification
• macular edema
• prevention
• nsaids