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Pseudophakic cystoid macular lesions after uncomplicated standard phacoemulsification: retrospective clinical analysis

Poster Details

First Author: D.Kang SOUTH KOREA

Co Author(s):    J. Bae   H. Kim                 

Abstract Details


To assess the incidence, risk factors and clinical courses of cystic macular lesions (CMLs) after uncomplicated phacoemulsification


Univerisity hopital setting, retrospective study


This retrospective chart review was conducted. Patients�â�€�™ demographic data, preoperative biometric parameters, and postoperative surgical outcomes were recorded to evaluate risk factors for CMLs.CMLs were classified into two categories; cysttic macular edema (CME) and microcystic macular edema (MME).


The dataset consisted of 316 patients (mean age 67.52 �Â�± 12.95, range 42-87) who was performed uncomplicated, standard phacoemulsification. The incidence of CMLs was significantly lower in topical NSAIDs treated patients as compared to those without topical NSAIDs medication. A history of diabetic retinopathy (OR, 3.47; 95% CI, 1.24-9.91), hypertension (OR, 3.71; 95% CI, 1.19-11.5), epiretinal membrane (OR, 5.63; 95% CI, 1.19-26.4) , uveitis (OR, 11.7; 95% CI, 1.79-76.4), glaucoma (OR, 4.16; 95% CI, 1.12-15.4), and vascular occlusion (OR, 5.03; 95% CI, 0.90-28.0) were associated with risk of CMLs.


This study showed wide clinical spectrum of CMLs. we could observe not only CME, but MME, which has not included in conventional definitions of pseudophakic CME.

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