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Second-Eye Surgery After Previous CMO: How We Plan and Protect the Macula

2 min read

Having CMO after first-eye cataract surgery raises understandable anxiety about second-eye surgery. The key is to treat the second eye as high-risk and plan accordingly.

Pre-operatively we obtain detailed macular OCT, document any residual changes and review the course of CMO in the first eye. Intra-operatively we minimise inflammation and vitreous disturbance.

Post-operatively we use extended steroid–NSAID prophylaxis, often beyond six weeks, and schedule earlier OCT checks.¹

Our audited series includes a patient who developed CMO after first-eye surgery elsewhere; in the second eye operated at Blue Fin Vision®, oedema appeared only after extended drops were stopped and resolved when therapy resumed. This reinforces how tightly macular stability is linked to prostaglandin suppression in susceptible eyes.²

References

  1. Wielders LHP, Schouten JSAG, Winkens B, et al. ESCRS PREMED Study Report 1. Ophthalmology. 2018;125(2):195-204.
  2. Henderson BA, Kim JY, Ament CS, et al. Clinical pseudophakic CMO risk factors. J Cataract Refract Surg. 2007;33(9):1550-1558.

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About Blue Fin Vision®

Blue Fin Vision® is a GMC-registered, consultant-led ophthalmology clinic with CQC-regulated facilities across London, Hertfordshire, and Essex. Patient outcomes are independently audited by the National Ophthalmology Database, confirming exceptionally low complication rates.