A case of bilateral cystoid macular edema (Irvine—Gass) after bilateral multifocal intraocular lens implantation

Pseudophakic cystoid macular edema (CMO) known to appear in 0.1-2.35% of patients after phacoemulsification is one of the common causes of vision decrease during postoperative period. The authors analyzed a case of CMO development in a pseudophakic patient diagnosed 7 months after uncomplicated phacoemulsification. Optical coherence tomography (OCT) was suggested for patients with low vision and a sensation of shroud before the eye for early diagnosis of pathological process. Intravitreal injection of the 0.7 mg dexamethasone micro-implant performed soon after establishing the diagnosis was proved to be viable for postoperative CMO arrest in patients without previous treatment. One month after intravitreal implant injection, the visual acuity in the patient's eye improved from 0.4 to 0.7, and retinal thickness in the macular area decreased from 705 to 255 μm. The result remained stable for 10 months. Intravitreal micro-implant appeared to have higher efficiency in contrast with traditional treatment methods (according to literature data), which was attributed to direct drug delivery to the area of pathological process. The use of 0.7 mg dexamethasone implant did not increase the intraocular pressure indicating its potential viability for patients with compensated glaucoma.

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Treatment of postoperative macular edema (a clinical case study)

Иошин¹,

Tolchinskaya²,

Bagirov³

2018

Vestn. oftal'mol.

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Treatment of postoperative macular edema (a clinical case study)

2019

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Псевдофакический кистозный макулярный отек (КМО), или синдром Ирвина-Гасса,-одна из распространенных причин снижения зрения даже после неосложненного хирургического лечения катаракты. По данным литературы, частота КМО после современной факоэмульсификации составляет 0,1-2,35% [1]. Чаще всего КМО развивается через 4-6 нед после экстракции катаракты, но описаны случаи его возникновения и в более поздние сроки после операции [1, 2]. Патогенез КМО многофакторный, но основной причиной осложнения считается послеоперационное воспаление [3-5]. Воспалительные медиаторы

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Morphological and functional condition of the macula after different types of phaco cataract surgeries

et al. 2020

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A case of bilateral cystoid macular edema (Irvine—Gass) after bilateral multifocal intraocular lens implantation

Cited by 5 publications

References 9 publications

Treatment of postoperative macular edema (a clinical case study)

Treatment of postoperative macular edema (a clinical case study)

Treatment of postoperative macular edema (a clinical case study)

Morphological and functional condition of the macula after different types of phaco cataract surgeries

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