The Incidence Of Cystoid Macula Edema Following Uncomplicated Clear Cornea Cataract Surgery
Published 2023 - 41st Congress of the ESCRS
Reference: PO0332 | DOI: 10.82333/nbzj-0g94
Authors: Elena Konstantinidou 1 , Anastasios John Kanellopoulos 2 , Dimitris Machairas 1 , Despoina Karadimou* 1 , Athanasios Zisimopoulos 1 , Alexandros John Kanellopoulos 1 , Vasiliki Moustou 3 , Nikolaos Christopoulos 3 , Panagiota Petrakogianni 3
1Ophthalmology,LaserVision Ambulatory Eye Surgery Unit,Athens,Greece, 2Ophthalmology,LaserVision Ambulatory Eye Surgery Unit,Athens,Greece;Ophthalmology,NYU Med School,New York,United States, 3LaserVision Ambulatory Eye Surgery Unit,Athens,Greece
Consecutive case series evaluating at 6 weeks postop the OCT documented incidence of CME
Laservision Ambulatory Surgical Center, Athens, Greece
1205 consecutive cataract cases were evaluated in a retrospective review. 2 weeks following the tapering of topical dexamethasone (6weeks following the cataract extraction) 21 cases demonstrated OCT (Avanti angio-flow, Optovue, CA, USA) CME and 18 of those drop in acuity (CDVA) of at least 2 Snellen chart 2 lines
In all cases an additional month of topical dexamethasone 0.3% solution used TID combined with topical bromfenac 0.9mg/ml BID for that same month and qD for another month CME resolved.
19 of the 21 CME cases had signs of ERM in their pre-operative OCT macula evaluation.
These data suggest that ERM maybe a predisposing factor for the development of CME following uncomplicated clear cornea cataract surgery despite 4 weeks of tapered postoperative dexamethasone use