Consideration should be given to antibiotic prophylaxis beforehand, for eg, Ocuflox qid 1 day preoperatively. Another important point to think about is preoperative prophylactic treatment of the peripheral retina, especially in patients with preexisting abnormalities and in high myopes. So far, published results on CLE have shown that prophylactic 360 laser therapy provides a lower incidence of postoperative detachment than direct treatment limited to the visible abnormalities, which shows little difference from no treatment at all. Sterile ophthalmic suspension that is a topical anti-inflammatory agent for treating steroid responsive inflammation of the palpebral and bulbar conjunctiva, corneal and anterior segment. Safety for use during pregnancy has not been established.
CLE is similar to cataract surgery, except that less ultrasound and more aspiration are used.
Follow standard protocol for postoperative medication. Instructions are given to call if vision suddenly deteriorates instead of slowly improving, if pain occurs, or the eye becomes red or inflamed. Otherwise, follow-up care is as for cataract surgery with attention to the same possible complications. If clouding of the capsule can be eliminated and if a truly accommodating and adjustable lens can be achieved it is likely that this could become the number one refractive procedure. Clear lens extraction to correct high myopia.