Agreement between optical coherence tomography and fundus fluorescein angiography in post-cataract surgery cystoid macular edema

Mitne, Somaia; Júnior, Augusto Paranhos; Rodrigues, Ana Paula Silvério; Guia, Tércio; Bordon, Arnaldo Furman; Moraes, Nilva Simeren Bueno de; Farah, Michel Eid; Bonomo, Pedro Paulo

doi:10.1590/s0004-27492003000700007

Cited by 3 publications

(2 citation statements)

References 11 publications

(20 reference statements)

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“…FFA was compared with OCT by Mitne et al for the diagnosis of CME, who found an 88% correlation between the two methods [14]. The same comparison was performed by Antcliff et al who reported that the sensitivity and specificity of OCT was 96% and 100%, respectively [15].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Cystoid Macular Edema Using Optical Coherence Tomography and Fundus Autofluorescence after Uncomplicated Phacoemulsification Surgery

Şahin

Cingü

Gözüm

2013

Journal of Ophthalmology

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Aim. To investigate the utility of fundus autofluorescence (FAF) and optical coherence tomography (OCT) in the evaluation of cystoid macular edema (CME) following cataract surgery. Materials and Methods. Forty eyes of 29 patients undergone phacoemulsification, with posterior chamber intraocular lens implantation surgery. Central macular thickness (CMT) of the patients was evaluated using OCT and FAF preoperatively and postoperative 1st, 30th, 60th, 90th, and 180th days. Results. CME was detected in three eyes (7.5%) of two patients using OCT. Hyperautofluorescence (HAF) was detected in two of these three eyes and resolved with treatment. In the remaining 37 eyes without CME, there was a significant increase in visual acuity when compared to preoperative values (P = 0.008) Mean macular thicknesses (MMT) of the eyes without CME were 174 ± 20 μm preoperatively and 179 ± 22 μm at day 1, 178 ± 19 μm at 1st month, and 168 ± 10 μm at 6th month postoperatively. In the eyes with CME, the MMTs, measured with OCT were 189 ± 23 μm preoperatively and 432 ± 361 on day 1, 343 ± 123 μm at 1st month, 345 ± 196 at 2nd month, and 200 ± 36 μm at 6th month postoperatively. Conclusion. We found a moderate increase in CMT in the first 3 months postoperatively, in the eyes without CME which did not cause visual disturbances. FAF is a noninvasive, rapid method for the evaluation and follow-up of CME following cataract surgery.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Cystoid Macular Edema Using Optical Coherence Tomography and Fundus Autofluorescence after Uncomplicated Phacoemulsification Surgery

Şahin

Cingü

Gözüm

2013

Journal of Ophthalmology

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“…[2][3][4] Historically, fundus fluorescein angiography (FFA) was widely regarded as the standardized method for detecting CME. 5 Introducing advanced technology, such as optical coherence tomography (OCT), has provided a rapid and non-invasive means of detecting CME and other retinal conditions with significantly reduced side effects. 6 Many ocular and systemic conditions are noted to increase the risk of PCME, one of the major co-morbidities being diabetes.…”

Section: Introductionmentioning

confidence: 99%

Pseudophakic Cystoid Macular Edema and Diabetes Mellitus: A Case Report

2024

CRO (Clinical &Amp; Refractive Optometry) Journal

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Purpose To provide an overview and discuss a case of bilateral pseudophakic cystoid macular edema (PCME) in a patient with diabetes. Results A 66-year-old Indian female was found to have pseudophakic CME in both eyes which caused clinically significant visual disturbances, with onset 71 and 41 days in the right and left eye, respectively, after surgery. Management included dexamethasone 0.1% and diclofenac sodium 0.1% Q.I.D OU. Conclusion Pseudophakic CME remains a clinically significant differential diagnosis in persistent blurred vision post-cataract surgery despite its’ decreasing incidence. Optical coherence tomography (OCT) has emerged as an indispensable non-invasive diagnostic tool for identifying sub-clinical cystoid macular edema in patients undergoing uncomplicated cataract surgery.

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Comparison between Optical Coherence Tomography and Fundus Fluorescein Angiography in the Detection of Cystoid Macular Oedema in a Tertiary Eye Care Centre in Nagpur, Maharashtra

Dhabarde¹,

Painjane²,

Madan³

2021

jebmh

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BACKGROUND Fundus fluorescin angiography (FFA) has been traditional gold standard for detection of cystoid macular oedema (CME) but nowadays optical coherence tomography (OCT) is used more often by to detect CME due to various conditions. Although FFA can assess CME qualitatively, OCT provides quantitative measurement of foveal thickness. The purpose of this study is to compare sensitivity of FFA and OCT for detection of CME and know the etiological distribution of CME and the ability of FFA and OCT in diagnosing CME in different aetiologies. METHODS A hospital based prospective observational diagnostic study was conducted in tertiary eye care centre in central India on 143 eyes of 103 patients. FFA and OCT findings in patients of CME diagnosed provisionally on fundus examination were studied. RESULTS Of total 103 patients studied, maximum patients 20 (19.42 %) were in age group of 55 - 59 years whereas minimum 6 (5.83 %) were in age group of 40 - 44 years. In 103 patients, 61 (59.22 %) were males and 42 (40.78 %) were females. Both eyes were involved in 41 (40.78 %) cases. Most common cause of CME was nonproliferative diabetic retinopathy (NPDR) 52 eyes (35.86 %), followed by branch retinal vein occlusion (BRVO) 32 eyes (22.06 %), then proliferative diabetic retinopathy (PDR) 14 eyes (9.6 %), central retinal vein occlusion (CRVO) 13 eyes (8.96 %). CME on OCT was seen in maximum of retinal vein occlusion patients - CRVO (84.61 %) and BRVO (84.37 %). Of 145 eyes, 114 (78.32 %) eyes had CME. CONCLUSIONS Most common cause of CME was NPDR followed by BRVO, PDR and CRVO. Sensitivity of OCT in comparison with FFA was 100 % with diagnostic accuracy of 81.38 %. Hence, one can use OCT as first modality investigation for diagnosis of CME. KEYWORDS Optical Coherence Tomography, Fundus Fluorescein Angiography, Cystoid Macular Oedema, NPDR

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Agreement between optical coherence tomography and fundus fluorescein angiography in post-cataract surgery cystoid macular edema

Cited by 3 publications

References 11 publications

Evaluation of Cystoid Macular Edema Using Optical Coherence Tomography and Fundus Autofluorescence after Uncomplicated Phacoemulsification Surgery

Evaluation of Cystoid Macular Edema Using Optical Coherence Tomography and Fundus Autofluorescence after Uncomplicated Phacoemulsification Surgery

Pseudophakic Cystoid Macular Edema and Diabetes Mellitus: A Case Report

Comparison between Optical Coherence Tomography and Fundus Fluorescein Angiography in the Detection of Cystoid Macular Oedema in a Tertiary Eye Care Centre in Nagpur, Maharashtra

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