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The article presents a clinical case of cystoid macular edema (CME) in a patient who undergone a refractive lensectomies with ReStor multi-focal lens implants in both eyes. The case demonstrates the sensitivity of the macula to anti-inflammatory treatment even in cases where the visual acuity is good, and that the combination of steroids and nonsteroidal anti-inflammatory agents is critical for the prevention of CME and for achieving optimum visual outcomes.

The article presents a list of the top ten recommendations for the preventions of endophthamitis. The number one is to select a fourth-generation fluoroquinolone, followed by combining an antibiotic for a few days preoperative with a pulsing regimen immediately preoperatively and then instruct patients to use lid scrubs or other lid hygiene regimen for two days preoperatively.