---
title: Our Macular Oedema Prevention Protocol at Blue Fin Vision®
description: "Our CMO prevention protocol is built around three pillars: risk identification, targeted pharmacology and objective measurement. Every cataract and lens replacement patient undergoes pre-operative macular OCT to detect occult pathology such as ERM or diabetic thickening. All patients then receive…"
url: "https://bluefinvision.com/knowledge-base/topics/treatments-procedures/our-macular-oedema-prevention-protocol-at-blue-fin-vision/"
updated: "2026-02-18"
category: "Treatments & Procedures"
---

# Our Macular Oedema Prevention Protocol at Blue Fin Vision®

Our CMO prevention protocol is built around three pillars: risk identification, targeted pharmacology and objective measurement.

Every cataract and lens replacement patient undergoes pre-operative macular OCT to detect occult pathology such as ERM or diabetic thickening. All patients then receive a combination of topical steroid and NSAID drops for at least six weeks after surgery, reflecting the period of highest inflammatory activity and the evidence from PREMED and meta-analyses.¹

High-risk eyes often continue treatment beyond six weeks when OCT or clinical findings justify it. Post-operatively we repeat macular OCT to look for subclinical thickening before vision is affected.²

If oedema appears, therapy is extended or intensified early. This structured approach allows us to align pharmacology with mechanism, tailor care to individual risk, and audit outcomes transparently over time.

**References**

1. Wielders LHP, Schouten JSAG, Winkens B, et al. ESCRS PREMED Study Report 1. Ophthalmology. 2018;125(2):195-204.
2. Chu CJ, Johnston RL, Buscombe C, et al. Risk factors and incidence of macular edema after cataract surgery. Ophthalmology. 2016;123(2):316-323.

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