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
- Wielders LHP, Schouten JSAG, Winkens B, et al. ESCRS PREMED Study Report 1. Ophthalmology. 2018;125(2):195-204.
- 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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- Epiretinal Membrane and Cataract Surgery: Protecting the Macula
- The PREMED Study: What It Means for Your Eye Drops
- Why We Use Both Steroid and NSAID Drops After Surgery
- Dropless Cataract Surgery vs Traditional Drops: Our View on Macular Safety
- How OCT Scans Help Prevent Macular Oedema After Surgery
- Our Macular Oedema Prevention Protocol at Blue Fin Vision®
- Our Audited Macular Oedema Outcomes: 0.03% in 3,215 Procedures
- Macular Oedema After Surgery: Symptoms Patients Should Never Ignore
- Rare Corneal Melt with NSAID Drops: How We Balance Risk and Benefit
- Second-Eye Surgery After Previous CMO: How We Plan and Protect the Macula
- Why Our CMO Data Matters for Transparency in Cataract and Lens Surgery
- Cystoid Macular Oedema and Patient Experience: Why Recovery Time Matters
- How CMO Changes the Cataract Recovery Story for Patients
- CMO, Satisfaction Scores and Online Reviews
- The Cost of CMO to a Private Clinic
- CMO and the Referral Ecosystem: Optometrists and GPs
- Fellow-Eye Risk and Strategic Planning in Bilateral Surgery
