Uveitis: Posterior synechiae, lens deposits, CME, prolonged post-op inflammation, and secondary glaucoma

Uveitis following cataract surgery increases the risk of cystoid macular edema (CME), posterior synechiae, and secondary glaucoma, all of which may lead to delayed visual recovery or permanent visual loss. It is important to make the distinction between patients with pre-existing uveitis who undergo cataract surgery and those with no history of intraocular inflammation who develop uveitis after surgery.

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Mooren’s ulcer vs. PUK: The difference can mean life or death

While Mooren's ulcer is by definition not associated with any systemic autoimmune disorder, it can be confused with corneal ulcers that are early warning signs of life-threatening diseases, said C. Stephen Foster, M.D., founder and president, Massachusetts Eye Research and Surgery Institute, Cambridge, and clinical professor of ophthalmology, Harvard Medical School, Boston.

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Distinguishing dendrites

Many epithelial lesions have a dendritic shape. Although most of these lesions are pseudodendrites, they are frequently misdiagnosed as herpes simplex virus (HSV). The shape differences between these dendrites are subtle, but do exist. EyeWorld spoke to two experts on the subject who weighed in on the telltale signs.

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Double trouble: Diplopia following cataract or refractive surgery

Pre-existing strabismus and a family history of this are two red flags to look for when trying to head off diplopia in cataract patients, according to Kammi B. Gunton, M.D., assistant surgeon, Wills Eye Institute, Philadelphia. Investigators led by Dr. Gunton reported on the incidence and causes of diplopia following cataract and refractive surgery in the September 2010 issue of Current Opinions in Ophthalmology.

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An unusual dilation issue

Presenting with a "completely dilated and non-reactive" pupil on postop day 1 can be nerve-wracking for the surgeon. Here's how one physician dealt with the complication.

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Managing makeup after surgery

The use of makeup is important to many of our patients. I have noticed it to be one of the first questions many patients ask. Knowing the majority of endophthalmitis cases arise from lid bacteria, makeup usage after surgery is not a small consideration. You may be interested to see how some of your colleagues deal with this issue and a few other post-op restrictions.

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