A 90-year-old female asked:
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85 year old with salzmann's is scheduled for cataract removal surgery. are there any concerns? should nodules be removed prior to surgery? scaring?

1 doctor answer
Dr. Nazhat Sharma
57 years experience Ophthalmology
Salzmann's nodules: hyaline deposits between the epithelium and Bowmans membrane of Cornea causing astigmatism. Superficial keratectomy of astigmatism-inducing Salzmann’s nodules should always be performed prior to cataract surgery. Stable keratometry readings and IOL calculations cannot be reliably obtained until 3 to 6 weeks after surgery. Toric IOLs should be avoided because of the risk of recurrent nodule.
Answered on Nov 28, 2017
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Dr. Michael Ham
Dr. Michael Ham commented
26 years experience Ophthalmology
Depends on size and location of nodules. Some should be removed prior to measurements and surgery if in or near visual axis and affect the vision.
Mar 5, 2016

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