Surgery on the Eye with Uveitis.

In the past, a surgeon working on the Fuchs’ eye would use intensive topical steroid for the postoperative weeks. However, in the last decade a shift to the fore of intraocular drugs has made these agents a valuable adjunct to cataract surgery. When removing cataract from eyes with noninfectious uveitis I routinely employ a dose of intravitreal steroid. This approach results in a settled course in the days and weeks following operation. It is helpful where fierce uveitis is guaranteed since the surgery has entailed the peeling of a fibrotic membrane from the pupil, the retraction of the iris, and the deployment of much ultrasound to fragment the lens. Intraoperative steroid as a strategy has been so effective that I have not needed a heavy course of anti-uveitis drugs in the preamble to surgery.