title: Postcataract surgical inflammation.
abstract: OBJECTIVE
  To describe the epidemiology, pathogenesis, and recent developments in the diagnosis and management of postcataract surgery inflammation.
  
  
  RESULTS
  In patients with pre-existing uveitis, control of inflammation with topical and/or systemic therapy for 3 months preoperatively continues to be important in lessening the risk of postoperative inflammation and complications. During cataract surgery, intraocular lens selection in these patients is important. Recent literature suggests that modern intraocular lenses (IOLs), particularly hydrophilic or hydrophobic acrylic lenses, generally have good uveal biocompatibility in uveitic patients. The postoperative course can be complicated by inflammation and cystoid macular edema (CME), and in uveitic patients, intensive perioperative steroid treatment can lessen these complications. Recent studies show that in uveitic patients, the improvement in CME and inflammation after intravitreal triamcinolone is better than after orbital floor triamcinolone injection, but that a single intraoperative orbital floor injection of triamcinolone is as effective as a 4-week course of postoperative oral prednisolone. Although postoperative inflammation in uveitic patients may be due to recurrence of uveitis, one must recognize other important potential causes of postoperative inflammation and treat accordingly.
  
  
  CONCLUSIONS
  Most patients with postcataract inflammation have good visual outcomes provided that the cause is recognized and that there is adequate perioperative planning in patients predisposed to inflammation.
authors.affiliation: Department of Ophthalmology, University of Washington School of Medicine, Seattle, Washington 98104, USA. taravati@u.washington.edu
authors.forename: Parisa
authors.initials: P
authors.lastname: Taravati
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Lam
authors.forename: Thellea
authors.initials: T
authors.lastname: Leveque
authors.forename: Russell N
authors.initials: RN
authors.lastname: Van Gelder
mesh_terms: D002387:Cataract Extraction; D006801:Humans; D007249:Inflammation / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D011183:Postoperative Complications