Comments on: Cataract Surgery May Worsen Diabetic Retinopathy http://www.retinaeyedoctor.com/2009/08/cataract-surgery-may-worsen-diabetic-retinopathy/ Randall V. Wong, M.D., Retinal Specialist Tue, 07 Feb 2012 13:18:46 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Randall V. Wong, M.D. http://www.retinaeyedoctor.com/2009/08/cataract-surgery-may-worsen-diabetic-retinopathy/comment-page-1/#comment-171 Randall V. Wong, M.D. Mon, 31 Aug 2009 07:41:52 +0000 http://retinaeyedoctor.com/?p=286#comment-171 This is a good point. Although it is becoming clearer that chemical mediators, such as VEGF, are involved in developing macular edema, and likely the development of diabetic retinopathy, it is less clear what triggers this chain of events after cataract surgery. Clinically, doctors have been using NSAIDS to combat macular edema after cataract surgery. Presumably, this interrupts some chemical pathway involving prostaglandins. Whether or not this is similar to the development of diabetic retinopathy after cataract surgery, I don't know. It is a very good idea. I hope this was helpful. Randy This is a good point. Although it is becoming clearer that chemical mediators, such as VEGF, are involved in developing macular edema, and likely the development of diabetic retinopathy, it is less clear what triggers this chain of events after cataract surgery.

Clinically, doctors have been using NSAIDS to combat macular edema after cataract surgery. Presumably, this interrupts some chemical pathway involving prostaglandins. Whether or not this is similar to the development of diabetic retinopathy after cataract surgery, I don’t know.

It is a very good idea.

I hope this was helpful.

Randy

]]> By: Cataract Surgery May Be Bad News for Diabetics | Diabetes News Hound http://www.retinaeyedoctor.com/2009/08/cataract-surgery-may-worsen-diabetic-retinopathy/comment-page-1/#comment-170 Cataract Surgery May Be Bad News for Diabetics | Diabetes News Hound Mon, 31 Aug 2009 07:02:36 +0000 http://retinaeyedoctor.com/?p=286#comment-170 [...] V. Wong, M.D. explains in a recent blog posting that “this seems to underscore the importance of having cataract surgery earlier than later, that [...] [...] V. Wong, M.D. explains in a recent blog posting that “this seems to underscore the importance of having cataract surgery earlier than later, that [...]

]]> By: Aissa http://www.retinaeyedoctor.com/2009/08/cataract-surgery-may-worsen-diabetic-retinopathy/comment-page-1/#comment-169 Aissa Sun, 30 Aug 2009 13:05:03 +0000 http://retinaeyedoctor.com/?p=286#comment-169 Would an extra NSAID eye drop help lessen the risk of worsening their diabetic retinopathy? Would an extra NSAID eye drop help lessen the risk of worsening their diabetic retinopathy?

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