Cataract Eye Surgery
Cataract
Pred Forte Eye Drops
Zymar Eye Drops
Question
Post cataract surgery (phaco) our eye doctor has suggested pred forte (steroidal) dosage for 6 weeks as follows 4 times a day for first 3 weeks,3 times a day for 4th week,2 times a day for 5th week,1 time for 6th week.
My worry is 4 times a day pred forte (prednisolone acetate) for first 3 weeks is quite high. Some risks are associated with pred forte for pro long use like increase in eye pressure-glaucoma,damage, posterior subcapsular cataract formation and delayed wound healing. Patient is one eyed and we are worried about risk involved with pred-forte.
Megabrom (non steroidal) is given 2 times a day for 4 weeks. Is this dose high? Are any risks like internal bleeding associated with this?
Zymar is given 4 times a day for 1 week.
Kindly help regarding correct dosage for pred-forte and megabrom.
Answer
Thanks for your Question
Pred forte 4 times for 3 weeks is not that high sometimes we have to give it every 2 hours for 3 weeks. Steroid is very important after cataract surgery to reduce complications from inflammation.
Rarely permanent complications can occur with this minimum dose.Sometimes intraocular pressure can increase but it is temporary and will reduce to normal once the pred forte is stopped.The same goes for megabrom.
Pred forte dosage after cataract eye surgery by: ramesh
Thanks. But usually for phaco most of the doctors taper pred-forte every week and give maximum 4 weeks. So it comes 4 times, 3 times, 2 times and 1 time (4 weeks) instead of 4 times for 3 weeks and 3 times, 2 times, 1 time for subsequent weeks (6 weeks).
Regarding megabrom (BROMFENAC) is it necessary to apply always 2 times or this can be made 1 time. Also many doctors give this for maximum 2 weeks. What other non ateriodal options are available instead of megabrom?
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