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First Author: K.Eltutar TURKEY
Co Author(s): T. Akcetin N. Dincer
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To evaluate the structural features of macular edema and central macular thickness (CMT) and the relation with visual acuity by using optical coherence tomography (OCT) in uveitic macular edema.
Istanbul Education and Research Hospital, Ophthalmology Department, Istanbul, Turkey
64 eyes of 52 patients with uveitis who had diagnosed macular edema in Istanbul Education and Research Hospital, Eye Clinic, Uvea Departhment were enrolled in this retrospective study. There were 30 females and 22 males; the mean age was 42.8 ±13.5 (17-60) years. All patients were performed a complete ophthalmologic examination, best corrected visual acuity (BCVA) was evaluated by LogMAR and central macular thickness was measured with spectral domein OCT.
Mean BCVA was 0.45 ±0.32 (LogMAR), respectively. Diffuse macular edema (DME) in 28 eyes (43.75% ), cystoid macular edema (CME) in 30 eyes (46.87%), isolated serous retinal detachment (SRD ) in 6 eyes (9.7%), DME + SRD in 7 eyes (25%), CME + SRD in 9 eyes (30%) were detected by using OCT. Epiretinal membrane (ERM)was observed in 12 eyes (18.75%) . The mean central macular thickness was 489.84 ±106.52 ṁm in CME, 362.35 ±92.95 ṁm in DME, 476 ±102.7 ṁm in SRD. Central macular thickness was found to be higher in CME compared to DME. The mean BCVA was 0.58 ±0.43 CME, 0.32 ±035 DME, 0.44 ±0.32 SRD by LogMAR. The visual acuity was found to be lower in CME compared to DME.
OCT is an important tool in determining the structural features of uveitic macular edema and macular thickness measurement. Cystoid structure of macular edema, high central macular thickness and the presence of SRD are responsible for low visual acuity.