Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report
Science Journal of Clinical Medicine
Volume 3, Issue 3, May 2014, Pages: 43-45
Received: Apr. 20, 2014;
Accepted: May 26, 2014;
Published: Jun. 10, 2014
Views 2736 Downloads 158
Hatem Barhoom, Optometry department, Faculty of health science, Islamic University of Gaza, Gaza strip, Palestine
Sharanjeet -Kaur, Optometry Department, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda, Kuala Lumpur, Malaysia
Sabri Kamarudin, Ophthalmology Clinic, Hospital Selayang, Lebohraya Selayang – Kepong, 68100 Batu Caves, Selangor, Malaysia
Follow on us
One of the major risk factors for conversion from Phacoemulsification (Phaco) to Extracapsular Cataract Extraction (ECCE) is the Posterior capsule rupture. The capsule rupture or any cause leads to Vitreous Loss (VL) will develop tractional inflammation to the retina and Cystoid Macular Edema (CME) will occur. A 65 years old Chinese man had a history of left eye phaco converted to ECCE, anterior vitrectomy and Anterior Chamber Intra Ocular Lens (ACIOL) implant was done due to complication by inferior zonulolysis and VL. After 10 months he complained of dropped Best Corrected Visual Acuity (BCVA) in the operated eye and he was diagnosed to have CME. The diagnosis was done using Optical Coherence Tomography (OCT).Incomplete Posterior Vitreous Detachment (PVD) increases the risk of CME development, and this may make it necessary to start treatment before cataract surgery to reduce the incidence or improve the prognosis of the condition. In this case, PVD was diagnosed in the right eye suggesting that it will be at higher risk to develop CME in case of cataract surgery when it is complicated by VL and starting CME treatment before the surgery will be highly recommended.
Cataract, Cystoid, Vitreous Loss, OCT
To cite this article
Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report, Science Journal of Clinical Medicine.
Vol. 3, No. 3,
2014, pp. 43-45.
Kanski, J. 2011. Clinical Ophthalmology: A Systematic Approach, 7th Edition, 288.
Preston, H.B., Rajiv, M.R. 2002. Visual outcomes after vitreous loss during cataract surgery performed by residents. J Cataract Refract Surg 28:847–852.
Sebag, J., Balazs, E.A. 1984 Pathogenesis of cystoid macular edema: An anatomic consideration of vitreoretinal adhesions. Surv Ophthalmol 28: 493-8.
Yavas, G. F., Ozturk, F., Kusbeci, T. 2007. Preoperative topical indomethacin to prevent pseudophakic cystoid macular edema. J Cataract Refract Surg 33:804–807.
Wolter, J.R. Foreign body giant cells on intraocular lens implants. Graefe’s Archive for Clinical and Experimental Ophthalmology 219:103-111.
Puck, A., Tso, M. O. M., Yue, B. 1985. Cellular deposits on intraocular lenses. Acta Ophthalmologica 63: 54–60.
Aroca, P. R., Ballart, J. F., Garcia, M. A., et al. 2006. Nonproliferative diabetic retinopathy and macular edema progression after phacoemulsification: Prospective study. J Cat-aract Refract Surg 32:1438–1444.
Pearson, P.A., Owen, D.G., Maliszewski, M., Smith, T.J. 1989. Anterior chamber lens implantation after vitreous loss. Br J Ophthal 73:596-599.
Roldan, M., Serrano, J.M. 1989. Macular edema and vitreous detachment. Ann Ophthalmol 21(4):141-8.