Evaluating a Dropless Postoperative Regimen After Cataract Surgery in a Vulnerable, County-hospital Population
Cataract, Surgery, Compliance, Patient
About this trial
This is an interventional prevention trial for Cataract focused on measuring cataract surgery, post-operative care, vulnerable populations, compliance, patient satisfaction
Eligibility Criteria
Inclusion criteria:
- ZSFG patient initially seen in the eye clinic, approved by attending ophthalmologist for cataract surgery in both eyes due to visually significant cataracts, and who elects to have cataract surgery in both eyes.
- Patients 18 years of age or older
Exclusion criteria:
- Patients requiring bilateral simultaneous (same-day bilateral) cataract surgery
- Patients with prior history of: endophthalmitis, advanced glaucoma, known history of intraocular pressure elevation due to steroids, prior intraocular surgery, cystoid macular edema/diabetic macular edema/retinal edema noted in the past 12 months prior to cataract surgery
- Patients with documented penicillin or cephalosporin allergy or intolerance
- Patients requiring combined same day cataract and ophthalmic subspecialty procedure (eg; combined cataract and glaucoma, retina, or cornea surgery).
- Patients who are pregnant or breastfeeding
Sites / Locations
- Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG)Recruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Dropless Regimen
Standard Regimen
Intraoperative subconjunctival injection of triamcinolone acetonide (20mg) delivered 4-5 mm posterior to the limbus at the end of surgery Intraoperative intracameral injection of cefuroxime delivered at the end of surgery. No postoperative drops.
Intraoperative intracameral injection of cefuroxime delivered at the end of surgery. Neomycin/Polymyxin B ophthalmic solution: one drop to the operative eye four times daily for 1 week, then stop. Ketorolac 0.5% ophthalmic solution: one drop to the operative eye four times daily for 1 month or until the bottle runs out. Prednisolone acetate 1% ophthalmic solution: one drop to the operative eye four times daily for 1 month, then stop.