Chapter 2

Question 1

Which of the following is the MOST common post-operative complication following cataract surgery?

Answer 1

Posterior capsule opacification (PCO) is the most common complication following cataract surgery, and occurs in approximately 41-51% of patients within 5 years. Recall that PCO most commonly develops within 2-6 months following cataract surgery.

Question 2

Which of the following is the MOST appropriate treatment regimen after cataract surgery?

Answer 2

Following cataract surgery, topical ophthalmic antibiotics (typically 4th generation fluoroquinolones) are prescribed QID x 2 weeks, and topical ophthalmic steroids (e.g., Pred Forte) are prescribed QID x 2 weeks, followed by a taper over the course of the remaining 2-4 weeks. Some surgeons may also prescribe a topical ophthalmic NSAID QID x 2-4 weeks.

Question 3

Which of the following options is the MOST appropriate treatment for Irvine-Gass CME?

Answer 3

Studies have demonstrated that prescribing a topical ophthalmic NSAID QID in combination with a topical ophthalmic steroid QID is the most effective treatment for Irvine-Gass CME.
Pred Forte 1% QID and Acular QID