Dropless Cataract Surgery

All cataract surgery carries some risk of infection or inflammation. It is important to treat the eye post operatively with antibiotics and steroids to reduce inflammation and reduce the risk of infections. These medications may be delivered in a drop form or injected into the eye at the end of surgery. The latter is referred to as dropless surgery because it reduces the need for eye drops. Patients may still need eye drops even if dropless surgery is used if the eye develops inflammation after surgery. There are pluses and minuses to each procedure. When using drops issues that need to be considered include cost, inconvenience of installation and irritation of the drops. Drops typically are used in a diminishing frequency over several weeks. Benefits include ability to modulate the frequency of installation and stop or change if needed. Drops have been used for cataract surgery since surgery was preformed and remain the most common medical treatment. In comparison when dropless surgery is preformed the use of drops is limited offering a cost saving and convenience. The downside of dropless surgery may include increased pressure, floaters, more surgical manipulation which adds a small risk to the procedure associated with the additional manipulation. There are some particular pluses and minuses that are patient dependent and may lead me to a specific recommendation for each patient.