Dropless™ Cataract Surgery in Las Vegas

Deciding between Dropless cataract surgery and traditional cataract surgery can be tough. Dropless is a really good option, and it offers a simpler recovery for most patients. Contact us today to come in for a cataract surgery appointment.
Best in Eye Surgery | Best in Eye Care
We have offered Dropless cataract surgery at our Las Vegas office since 2017, and we can confidently say that we have the experience it takes to ensure the best outcome for your surgery.

Exceptional Cataract Surgery. Best in Eye Surgery. Best in Eye Care.

Dropless™ Cataract Surgery Center

Elderly man had an eye assessment
What is Dropless™ Cataract Surgery?

Dropless cataract surgery is a new development in cataract surgery. It essentially eliminates the need for the patient to use eye drops after cataract surgery. In traditional cataract surgery, the patient uses eye drops to keep the eye infection-free.

In Dropless surgery, the doctor injects the necessary antibiotics and medications into the eye during surgery. The medication is utilized in the eye over the next several weeks, providing protection against swelling and infection. It makes for a simpler and more worry-free recovery.

Are you considering Dropless™ Cataract Surgery?

Historically, some surgery centers have used compounded medicines (not Imprimis) including some with vancomycin or other medicines which has caused rare but serious complications. Imprimis® Trimoxy™ is FDA monitored and tested and has been shown to be extremely safe.

For your safety we only use FDA-approved and monitored compounds. We never use non-FDA approved compounded products for injection. Most of our dropless cataract surgery patients are very satisfied with the outcome of this technique and appreciate the fact that daily eye drops are not needed after surgery.

Elderly man had an eye assessment

What People are Saying About Us

mitzi corey
mitzi corey
Absolutely love this practice. Everyone is very professional & friendly. Will recommend to anyone needing vision care!
Carlotta Sperry
Carlotta Sperry
Fast, caring and on time, can't do much better than that.
LINDA LA MAHN
LINDA LA MAHN
Very well done !!
NANCY PAYNE
NANCY PAYNE
As always, the staff is very friendly. I have so much confidence in Dr. Brimhall. He is professional and caring. I'm happy that I found him after moving to Las Vegas three years ago.
Sanni Trinh
Sanni Trinh
I can not say enough about Dr Thompson and the entire team at Brimhall at both offices I have experienced…they’re super professional and nice people! Dr Thompson is the best doctor ever…efficient…knowledgeable..kind…very talented and seem to be well respected by his peers from the surgery center to the office team they all say the greatest things about him …that says alot about Dr Thompson! Super grateful I found him! He never makes you feel rushed or just another patient…he is generous with his time and patience and makes you feel confident and assured throughout the whole procedure…thank you to the ENTIRE TEAM front and back south and north side office…for being rad!!! you guys ROCK…!
Sam Anbarchian
Sam Anbarchian
I love and appreciate having Dr. Brimhall as my eye doctor. I have been his patient since we moved to Las Vegas some 10 years ago. His bed-side manners, so to speak, is one of the reasons I continue to go to him and I place my complete confidence in him knowing that the well being of my eyes is his primary concern.
Albert Ellis
Albert Ellis
Every thing was professional.
The Science Behind It

What do Studies and Clinical Experience Show About the Benefits of Dropless™ Cataract Surgery?

In a nutshell, Dropless™ cataract surgery:

  1. Dramatically reduces the risk of infection
  2. Leads to a significantly more comfortable postoperative course
  3. Typically saves patients money
  4. Greatly simplifies post-operative care – No remembering drops. No special timing. Just avoid putting pressure on the eye. 
  5. Does NOT cause an increased risk of elevated pressure in the eye when compared to using traditional drops
  6. Does NOT increase the risk of rebound inflammation – During the late healing phase after cataract surgery when compared to traditional postoperative drops. The risk of rebound inflammation for both traditional drops and Dropless™ is about 5-8%
  7. Does NOT increase the risk of persistent postoperative iritis when compared to traditional drops – Rare cases of chronic iritis (long-standing inflammation in the eye) can occur after cataract surgery. Dropless™ does not increase this risk
Keep on reading below to learn more details about the benefits of Dropless™ cataract surgery.

Efficacy of Intracameral Moxifloxacin Endophthalmitis Prophylaxis at Aravind Eye Hospital

Endophthalmitis reduction with intracameral moxifloxacin in eyes with and without surgical complications: Results from 2 million consecutive cataract surgeries

Safety and efficacy of intracameral moxifloxacin for prevention of post-cataract endophthalmitis: Randomized controlled clinical trial

Rhegmatogenous Retinal Detachment after Intravitreal Injection of Anti-Vascular Endothelial Growth Factor

Clinical outcomes after injection of a compounded pharmaceutical for prophylaxis after cataract surgery: a large-scale review

Short-Term Non-Infectious Outcomes After a Pars Plana Intravitreal Antibiotic-Steroid Injection of Triamcinolone, Moxifloxacin, and Vancomycin During Cataract Surgery versus a Standard Postoperative Topical Regimen

Evaluating the effect of intravitreal triamcinolone-moxifloxacin during cataract surgery on central macular edema in patients with preexisting diabetic retinopathy

Clinical outcomes after injection of a compounded pharmaceutical for prophylaxis after cataract surgery: a large-scale review

Short-Term Non-Infectious Outcomes After a Pars Plana Intravitreal Antibiotic-Steroid Injection of Triamcinolone, Moxifloxacin, and Vancomycin During Cataract Surgery versus a Standard Postoperative Topical Regimen

Short-Term Non-Infectious Outcomes After a Pars Plana Intravitreal Antibiotic-Steroid Injection of Triamcinolone, Moxifloxacin, and Vancomycin During Cataract Surgery versus a Standard Postoperative Topical Regimen

Short-Term Non-Infectious Outcomes After a Pars Plana Intravitreal Antibiotic-Steroid Injection of Triamcinolone, Moxifloxacin, and Vancomycin During Cataract Surgery versus a Standard Postoperative Topical Regimen

eye surgery faqs

The Science Behind It

Dropless™ Cataract Surgery Dramatically Reduces the Risk of Infection

When compared to patients who receive traditional drops after their surgery.  Infection is one of the most worrisome complications of cataract surgery, as it often leads to significant visual impairment.

By best-fit studies, Dropless leads to a four to eight-fold decrease in infections. It is our opinion that the true benefit is actually much greater than this.

An elderly woman shows proper eye care
A family enjoys the best result from preventive measure for taking care of the eyes

The Science Behind It

Dropless™ Cataract Surgery Leads to a Significantly More Comfortable Postoperative Course

Clinically, we have observed patients experience dramatically less dry eye and irritation after cataract surgery with Dropless™ cataract surgery when compared to patients using traditional drops. The average person using traditional drops after cataract surgery uses around 250 drops in each eye, or about 9-12 drops each day.

These drops contain preservatives that are designed to inhibit bacterial growth, which unfortunately also affect the body’s own cells. This frequency of drop use is known to cause significant dry eye and/or irritation.

Nearly all patients receiving Dropless™ cataract surgery do not notice any dryness above their typical baseline they had prior surgery.

The Science Behind It

Dropless™ Cataract Surgery Typically Saves Patients Money

Most patients use more than 500 eye drops for a month after cataract surgery. All those eye drops really add up financially! Depending on your insurance, they can cost up to several hundred dollars. The cool thing about Dropless cataract surgery is that it doesn’t cost any more than traditional cataract surgery, so you could end up saving a few hundred dollars on eye drops.

The surgery itself doesn’t cost more than other cataract surgeries. Without insurance the medicines typically used would cost hundreds of dollars per eye. Dropless is paid for by the surgeon and/or surgery center. There is no cost to the patient. It also lowers the general system-wide cost of eye surgery.

A lovely old couple with their grandchild with an improve eyesight
close up blue eye

The Science Behind It

What About the Risks of Dropless™ Cataract Surgery?

Dropless™ cataract surgery:

  1. May cause a slight increased risk of retinal detachment
  2. May cause an increased risk of post-operative macular edema
Read our FAQs below to learn more about the risks.

Efficacy of Intracameral Moxifloxacin Endophthalmitis Prophylaxis at Aravind Eye Hospital

Endophthalmitis reduction with intracameral moxifloxacin in eyes with and without surgical complications: Results from 2 million consecutive cataract surgeries

Safety and efficacy of intracameral moxifloxacin for prevention of post-cataract endophthalmitis: Randomized controlled clinical trial

Rhegmatogenous Retinal Detachment after Intravitreal Injection of Anti-Vascular Endothelial Growth Factor

Clinical outcomes after injection of a compounded pharmaceutical for prophylaxis after cataract surgery: a large-scale review

Short-Term Non-Infectious Outcomes After a Pars Plana Intravitreal Antibiotic-Steroid Injection of Triamcinolone, Moxifloxacin, and Vancomycin During Cataract Surgery versus a Standard Postoperative Topical Regimen

Evaluating the effect of intravitreal triamcinolone-moxifloxacin during cataract surgery on central macular edema in patients with preexisting diabetic retinopathy

Clinical outcomes after injection of a compounded pharmaceutical for prophylaxis after cataract surgery: a large-scale review

Short-Term Non-Infectious Outcomes After a Pars Plana Intravitreal Antibiotic-Steroid Injection of Triamcinolone, Moxifloxacin, and Vancomycin During Cataract Surgery versus a Standard Postoperative Topical Regimen

Short-Term Non-Infectious Outcomes After a Pars Plana Intravitreal Antibiotic-Steroid Injection of Triamcinolone, Moxifloxacin, and Vancomycin During Cataract Surgery versus a Standard Postoperative Topical Regimen

Short-Term Non-Infectious Outcomes After a Pars Plana Intravitreal Antibiotic-Steroid Injection of Triamcinolone, Moxifloxacin, and Vancomycin During Cataract Surgery versus a Standard Postoperative Topical Regimen

Our Priority

Your Safety Always Comes First

We use only FDA-approved Imprimis® Trimoxy™ solution for Dropless™ cataract surgery. Trimoxy™ has been tested and tried on millions of patients and has an excellent and well-established safety record.

Dropless™ Cataract Surgery FAQs

The thought of undergoing a surgical procedure on your eyes can be a bit unnerving. At Brimhall Eye Center, we want you to feel safe through every step of the process. Here, we’ll share some frequently asked questions regarding Dropless™ cataract surgery.

A cataract is a cloudy lens inside the eye. You are born with the lens, but over time it can become blurry and foggy, impairing your vision. Cataracts don’t hurt, but they get worse over time, so it’s important to get them fixed when they first begin to affect your vision. Cataracts can form at any age, and most happen after the age of 50. Most of our cataract surgery patients are over the age of 50. If you are going to the eye doctor regularly then your doctor will watch out for cataracts. If your vision is cloudy and you think you may have cataracts, then make an appointment with us and we’ll see if cataract surgery is the solution for you!

Following cataract surgery, you typically need to apply eye drops. These medications help to protect your eyes from infections and inflammation. While essential, these drops can be inconvenient. You have to put them in several times a day, and you might forget. Dropless cataract surgery eliminates the need for any post-surgical eye drops. 

The surgery itself isn’t any different than other surgical procedures. Your surgeon removes the clouded lens from your eye and replaces it with an artificial one. During the procedure, your surgeon also administers a combination of medications using a needle. So, instead of sending you home with eye drops, you go home with the medication already there. That gives you one less thing to worry about, which can be a relief. 

Cystoid macular edema (CME) is swelling in the retina responsible for center vision. It may temporarily decrease vision in a healing eye and may require the use of drops for several weeks prior to resolving. The risk of CME goes up from 1 in 150 with traditional drops to about 1 in 50 with Dropless™ cataract surgery.

This risk can likely be mitigated through the use of various techniques and by avoidance of use in patients who are at higher risk of macular edema. Interestingly, for those with diabetic retinopathy, the risk of macular edema decreases with Dropless™ when compared to those who use traditional drops.

Retinal detachment has been found in studies to occur in about 1 of 1,750 cases. With Dropless™ cataract surgery it may increase to about 1 in 1,420. When injecting the medicine, we use techniques to minimize this risk.

This includes injecting in the appropriate areas 3mm posterior to the limbus in the pseudophakic eye; injecting only prior to full insertion of the needle; and visualization of the needle prior to infusion of medicine.

We also typically avoid Dropless surgeries in patients with a higher risk for retinal detachment, such as patients with highly myopic eyes, eyes with a history of retinal detachment, or previously vitrectomized eyes.

Consultation

Schedule a Consultation

Deciding between treatment options is hard. It’s really hard.

That’s why we have a team of counselors to help you weigh your options and choose which surgery or treatment is best for you. After you meet with one of our eye doctors, you’ll sit down with one of our counselors, Andrew, Lolita, or Char, and they will walk you through your doctor’s recommendations.

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