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Hi. I'm online and happy to answer your question today.
CME after surgery in a nanophthalmic eye is something that I am sure the surgeon thought might happen. This issue also occasionally crops up in normal eyes after cataract surgery.
Your son's surgeon may want to add a topical NSAID, such as Xibrom or Voltaren, to the pred forte. A study in 2006 showed that using a drop like these gave marked improvement in 85% of patients.
Two weeks is really too short of a time to see an improvement in this condition. I'd give it at least two months.
As a retina specialist I treat the difficult cases of CME and I can tell you that over 95% of patients are successfully treated by their cataract surgeons and never need my help :)
The next step is to see a retina specialist
I think adding xibrom to your son's drops will clear things up
Sounds like he is getting state of the art treatment and everything that can be done is being done. I do believe, given the history of CME, that your son has a very good chance of the swelling resolving even with the fact he has a nanophthalmic eye
I'm sorry that his doctors are not taking the little bit of extra time to sit down and talk with your son about what is going on. I would be happy to discuss any issues in detail with you, review any tests (OCT, FA ect) and let you know what they mean if you would like.
He can just ask for me on this system. You can bookmark my link if you would like. If he can scan his documents into his computer he can link them to the discussion thread using the paperclip on his screen...
Does this make sense to you?
I can imagine. He is fortunate to have family such as yourself to help him during these difficult times. Not everyone is so lucky.
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