August 07, 2014
1 min read
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BLOG: When to use topical NSAIDS after cataract surgery

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We’ve been battling the “forces of evil” when it comes to the prescription of topical NSAIDs and cataract surgery. Insurance companies and public-private mixes not only routinely demand generic prescriptions, but pharmacies quite often only stock the lowest priced among these generics.

As a dry eye doc, this is particularly maddening because the side effects of these generics (eg, ketorolac, diclofenac) are much more commonly seen in my experience in patients with pre-existing dry eye syndrome (DES), decreasing the likelihood that they will take this important medicine.

In my patient population, I see an approximate 90% incidence of significant discomfort with the instillation of these drops, and we still see a very severe form of keratitis in more than 30% of patients after 7 days of treatment. This is scary for both patient and doctor, and the decreased vision that accompanies it can unfairly shake the confidence a patient has that her surgical outcome is good.

Click here to read the full blog entry by Darrell E. White, MD.