This 64YO female presented for her one-day post-dropless cataract surgery with some minor irritation and floaters. Vision without correction was 20/25+. Unbeknownst to our happy patient, a sinister ghoul was lurking behind her perfectly centered intraocular implant.
Our practice, along with many others, offers ‘no drop’ cataract surgery as a convenience to our patients. Instead of needing to take postoperative antibiotic and steroid drops, 0.2cc of TriMoxi (triamcinolone acetate 15mg/cc with moxifloxacin 1mg/cc) is injected into the anterior inferior vitreous at the end of the cataract surgery. Although this liquid usually remains well outside the visual axis, patients will often experience mild floaters perioperatively. Rarely, as in this patient, the liquid disperses throughout the vitreous cavity, causing significant transient floaters.
