Cystoid Macular Edema after Extracpsular Cataract Extraction Performed by Residents
prevention and risk factors; prospective study with
adjunctive once daily topical nepafenac 0.3% versus
placebo. BMC Ophthalmol. 2017 Feb 20; 17 (1): 16.
2. Cho H, Madu A. Etiology and treatment of the
inflammatory causes of cystoids Macular edema. J
Inflamm Res. 2009; 2: 37-43.
(72%) BCVA improved by at least two lines and mean
baseline BCVA and central macular thickening
improved from 6/60 and 500 micometer to 6/24 and
286 microns respectively after a mean of 2.7 injections
per eye. Barone et al17 reported 10 eyes with refractory
CME and showed significant improvement in VA and
macular thickness.
3. Zur D1, Fischer N, Tufail A, Monés J, Loewenstein
A. Postsurgical cystoid macular edema. Eur
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J
CME remains a common and difficult problem for
patients and surgeons. Similar to previous studies,
OCT has proved to be an excellent tool for diagnosis,
management and follow up of CME after cataract
4. Subramaniam ML, Devaiah AK, Warren KA.
Incidence of postoperative cystoid macular edema by a
single surgeon. Digit J Ophthalmol. 2009; 28; 15 (4):
37-41. Doi: 10.5693/djo.01.2009.010.
5. Belair ML, Kim SJ, Thorne JE, Dunn JP, Kedhar
SR, Brown DM, et al. Incidence of cystoid macular
edema after cataract surgery in patients with and
without uveitis using optical coherence tomography.
Am J Ophthalmol. 2009; 148 (1): 128-35 e2.
extraction20,21
.
Limitation of our study was that it only included
residents. Frequency of CME in expert hands could
not be studied.
6. Yoon DH, Kang DJ, Kim MJ, Kim HK. New
observation of microcystic macular edema as a mild
form of cystoid macular lesions after standard
phacoemulsification: Prevalence and risk factors.
Medicine (Baltimore). 2018 Apr; 97 (15): e0355.
7. Bradford JD, Wilkinson CP, Bradford RH Jr.
Cystoid macular edema after extracapsular extraction
and posterior chamber inraocular lens implantation.
Retina, 1988; 8 (3): 161-164.
CONCLUSION
Even uneventful cataract surgeries can end up in
macular edema, which needs proper follow up and
management in the form of topical NSAID or
Intravitreal Bevacizumab as a primary treatment or in
refractory cases.
8. Henderson BA, Kim JY, Ament CS, Ferrufino-
Ponce ZK, Grabowska A, Cremers SL. Clinical
pseudophakic cystoid macular edema. Risk factors for
development and duration after treatment. J Cataract
Refract Surg. 2007; 33 (9): 1550-8.
Ethical Approval
The study was approved by the Institutional review
board/Ethical review board.
9. Flach AJ. The incidence, pathogenesis and treatment of
cystoid macular edema following cataract surgery.
Trans Am Ophthalmol Soc. 1998; 96: 557-634.
Conflict of Interest
Authors declared no conflict of interest.
10. The incidence, pathogenesis and treatment of cystoid
macular edema following cataract surgery. Trans Am
Ophthalmol Soc 1998; 96: 557-634.
11. Benitah NR, Arroyo JG. Pseudophakic cystoid
macular edema. Int Ophthalmol Clin 2010; 50 (1): 139-
153.
12. T-T Lai, J-S Huang, P-T Yeh. Incidence and risk
factors for cystoid macular edema following scleral
buckling. Eye (Lond). 2017 Apr; 31 (4): 566–571.
13. Stern AL, Taylor DM, Dalburg LA, Cosentino RT.
Pseudophakic cystoid maculopathy: a study of 50 cases.
Ophthalmology 1981; 88: 942-6.
14. Rosetti L, Autelitano A. Cystoid macular edema
following cataract surgery. Curr Opin Ophthalmol
2000; 11: 65-72.
Authors’ Designation and Contribution
Adnan Alam; Specialist Registrar: Study design, data
interpretation, manuscript writing, final review.
Mohammad Idris; Assistant Professor: Manuscript
writing, final review.
Hassan Yaqoob; Associate Professor: Manuscript
writing, final review.
Eemaz Nathaniel; Manuscript writing, final review.
Hadia Sabir; Post graduate trainee: Manuscript
writing, final review.
Syed Ittrat Hussain; Posgraduate trainee:
15. Altintas AGK, Ilhan C. Intravitreal Dexamethasone
Implantation in Intravitreal Bevacizumab Treatment-
resistant Pseudophakic Cystoid Macular Edema.
Korean J Ophthalmol. 2019 Jun; 33 (3): 259-266.
16. Arevalo JF, Maia M, Garcia-Amaris RA, Roca JA,
Sanchez JG, Berrocal MH, et al. Intravitreal
Manuscript writing, final review.
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