Cataract surgeon viewpoints on the need for novel preventative anti-inflammatory and anti-posterior capsular opacification therapies

Purpose: To determine cataract surgeon viewpoints on the efficacy of available therapies/preventatives for two common sequelae of cataract surgery: inflammation and posterior capsular opacification (PCO). Methods: Cataract surgeons practicing worldwide specializing in adult, pediatric and veterinary patients were interviewed between March and August 2018. Results: Ocular inflammation following cataract surgery is treated by either corticosteroids and/or nonsteroidal anti-inflammatories (NSAIDs). Adult and pediatric cataract surgeons are satisfied with current treatments whereas this inflammation is still considered a problem by some in veterinary practice due to its slow resolution. Yttrium–aluminum–garnet (YAG) laser therapy is the PCO treatment of choice for adult cataract surgeons and they are generally pleased with its outcome. However, pediatric cataract surgeons find YAG problematic, especially in patients under 6 years of age, and invasive surgery is often needed to correct PCO/visual axis opacification (VAO). Veterinary ophthalmologists report that YAG is not effective for PCO in animals, especially dogs, due to the density of the fibrotic plaques; 86% of adult and 100% of veterinary and pediatric cataract surgeons surveyed agree that effective anti-PCO therapeutics would improve clinical care. Conclusions: Surgeons treating human patients are pleased with the available treatments for ocular inflammation following cataract surgery, although some veterinary ophthalmologists disagree. The surgeons surveyed agree that PCO/VAO remains an unsolved problem in pediatric and veterinary cataract surgery while the long-term outcome of adult cataract surgery could be improved by additional attention to this issue.

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PID https://www.doi.org/10.6084/m9.figshare.9741944.v1
PID https://www.doi.org/10.6084/m9.figshare.9741944
PID https://www.doi.org/10.1080/03007995.2019.1647012
URL https://dx.doi.org/10.1080/03007995.2019.1647012
URL https://dx.doi.org/10.6084/m9.figshare.9741944.v1
URL http://dx.doi.org/10.6084/m9.figshare.9741944.v1
URL http://dx.doi.org/10.6084/m9.figshare.9741944
URL https://dx.doi.org/10.6084/m9.figshare.9741944
URL https://figshare.com/articles/Cataract_surgeon_viewpoints_on_the_need_for_novel_preventative_anti-inflammatory_and_anti-posterior_capsular_opacification_therapies/9741944
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Access Right Open Access
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Author Shihan, Mahbubul H.
Author Novo, Samuel G.
Author Duncan, Melinda K.
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Collected From Datacite; figshare
Hosted By figshare
Publication Date 2019-08-28
Publisher Taylor & Francis
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Language UNKNOWN
Resource Type Dataset
keyword FOS: Biological sciences
keyword FOS: Clinical medicine
system:type dataset
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Source https://science-innovation-policy.openaire.eu/search/dataset?datasetId=dedup_wf_001::130ad6f902a62f5c9939a9492c1d2568
Author jsonws_user
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Last Updated 14 January 2021, 14:43 (CET)
Created 14 January 2021, 14:43 (CET)