Cystoid macular edema following cataract surgery

Rossetti, Luca; Autelitano, Alessandro

doi:10.1097/00055735-200002000-00010

Cited by 118 publications

(110 citation statements)

References 49 publications

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“…[8][9][10] It may be difficult to detect clinically and FA used to be the procedure of choice to confirm the diagnosis. 12,13 In some patients, FA may show leakage in the macula although the patient is asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

“…12,13 In some patients, FA may show leakage in the macula although the patient is asymptomatic. 8 Compared with FA, OCT is noninvasive, comfortable, and safe, and can be repeated more frequently. In patients with uveitis, OCT is as effective as FA in detecting CMO but is more superior in demonstrating axial distribution of fluid.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7] Cystoid macular oedema (CMO) is an important complication of cataract extraction, with uncertain aetiology. [8][9][10] OCT can demonstrate cystic changes and increased retinal thickness in patients with CMO. 3,4 As OCT has a high resolution of up to 10 mm, it may be able to detect subtle changes in retinal thickness that cannot be seen at clinical examination.…”

Section: Introductionmentioning

confidence: 98%

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Cystoid macular oedema and changes in retinal thickness after phacoemulsification with optical coherence tomography

Wong

et al. 2005

Eye

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Aims To study the incidence of cystoid macular oedema and changes in retinal thickness after phacoemulsification with optical coherence tomography (OCT). Methods In all, 131 eyes of 131 patients were studied at the ophthalmology clinic at Tung Wah Eastern Hospital from September 2001 to October 2002. All the patients had clinical assessment and OCT preoperatively and at weeks 2, 4, and 8 postoperatively. The incidence of postoperative cystoid macular oedema (CMO) was evaluated. The foveal thickness (FT) and central 1 mm retinal thickness (CT) at different time intervals were analysed. Results Four (3.05%) patients developed CMO after phacoemulsification, which was evident clinically and tomographically. Fluorescein angiogram confirmed leakage in all cases. For other patients, the mean preoperative FT was 189.36726.83 mm. The mean FT, were 175.74726.79 mm, 180.25727.13 mm, 176.58726.45 mm at 2 weeks, 4 weeks, and 8 weeks postoperatively, respectively. The preoperative FT was significantly thicker than those in the postoperative period. The same trend was noted for CT. Conclusion: OCT is useful for detecting and confirming clinical CMO after cataract surgery; however, its use in detecting subtle changes in retinal thickness is limited by the normal variation in retinal thickness. The measurement of retinal thickness with OCT may also be affected by the status of the lens.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

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Cystoid macular oedema and changes in retinal thickness after phacoemulsification with optical coherence tomography

Wong

et al. 2005

Eye

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“…The incidence after phacoemulsification is reported to be 0.1-2% in healthy populations. [1][2][3][4][5] Although the exact pathomechanism is not known, the role of surgical trauma with release of prostaglandins and blood retinal barriers disruption is suspected. [6][7] Light toxicity and vitreo-macular traction may also have a role.…”

Section: Introductionmentioning

confidence: 99%

Macular thickness changes evaluated with spectral domain optical coherence tomography after uncomplicated phacoemulsification

Gharbiya

Cruciani

Cuozzo

et al. 2013

Eye

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Purpose To determine macular thickness changes after uncomplicated cataract surgery using spectral domain optical coherence tomography (OCT). Methods This was a prospective nonrandomized, clinical study. Data were analysed for 40 healthy patients undergoing uneventful phacoemulsification. OCT measurements were performed before surgery and postoperatively at day 1, week 1 and 2, and month 1, 2, 3, and 6. The retinal map was divided into central point thickness (CPT), central 1-mm subfield (CSF), and two peripheral ring areas with diameters of 3 and 6 mm. Fellow eyes were used as controls. Retinal thickness change between the operated and fellow eyes were compared using unpaired t-test. Correlations were analysed using the Spearman or the Pearson analysis.Results There was a progressive significant increase in retinal thickness of the operated eyes compared with the fellow eyes, with a peak at 1 month (Po0.0001) for the 3-and 6-mm areas and a peak at 2 months for CPT and CSF (P ¼ 0.01 and Po0.0001, Conclusions The present study demonstrated a significant increase in macular thickness up to 6 months after uncomplicated cataract surgery. The most important finding was the regional pattern of retinal thickening with an early involvement of the parafoveal area.

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“…Risk factors responsible for the development of CME after cataract extraction include several intraoperative complications such as posterior capsular rupture, vitreous loss and vitreous incarceration into the incision site and anterior chamber. Advanced age has been also reported as a risk factor for the development of the syndrome (Rossetti & Autelitano , 2000). Percival (1998) studied the effect of different factors on CME development after lens implantation.…”

Section: Incidence Epidemiology Risk Factorsmentioning

confidence: 99%