Does having cataract surgery worsen wet AMD?

A new study published in the American Journal of Ophthalmology did a review of 81 eyes with wet AMD that underwent cataract surgery.

Tell me about the eyes.
All had received at least one intravitreal injection within the 6 months prior to surgery. Twenty three eyes showed fluid on OCT prior to surgery but had received an anti-VEGF injection on average 13 days prior to surgery. They monitored the patients OCT’s 4-6 weeks after surgery and 6 months after surgery.

What did they find?
There was a significant improvement in the BCVA after cataract surgery and no significant difference in central thickness on OCT.

The take home:
“Patients with both cataracts and wet AMD may safely undergo cataract surgery. Patients with stable preoperative fluid on OCT should be considered for cataract surgery, as these patients did well postoperatively, with no worsening of their neovascular process.”

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