Official ESCRS | European Society of Cataract & Refractive Surgeons


Cystoid macular edema after primary anterior chamber intraocular lens implants following posterior capsule rent

Search Title by author or title

Session Details

Session Title: Cataract Surgery: Complications & Management

Session Date/Time: Tuesday 17/09/2019 | 14:00-16:00

Paper Time: 15:02

Venue: Free Paper Forum: Podium 1

First Author: : S.Ti SINGAPORE

Co Author(s): :    Y. Yang   S. Chee                          

Abstract Details


To study the management and outcomes of patients with clinically significant cystoid macula edema (CSCME) following cataract surgery with vitreous loss and anterior chamber intraocular lens (AC-IOL) implants.


Singapore National Eye Centre, Singapore


Clinical course of all eyes who developed CSCME following primary AC-IOL (MTA4UO 13mm) implantation for cataract surgery complicated by posterior capsule rupture (2013-2015) were retrospectively audited. Type of cataract, best-corrected visual acuity (BCVA at 1year) and treatment durations were reviewed.


Fourteen of 119 AC-IOL cases had CSCME, the most common complication. BCVA: 20/40 (n=5, 35.7%); 20/70-20/80 (4); 20/100-20/150 (5); CSCME onset = 1-21 months; 11 cases > 6 months duration. Ocular profile : small pupil, pseudoexfoliation (5); dense subluxated (4) & polar (1) cataracts. Treatment: topical steroids & NSAIDS 3-6 weeks, +/- followed by NSAIDs only 2-18 months (mean 8 months). CME recurred if NSAIDS < 2 months. CME was associated with cornea decompensation (2), diabetic CSME & epiretinal membrane (4); dropped lens material (2). Three eyes resolved after AC-IOL exchange for haptic-cornea touch, cornea edema and recurrent uveitis.


Chronic CSCME is a significant complication following cataract surgery with AC-IOL which may lead to visual impairment. In intractable cases, AC-IOL removal facilitates resolution of CSCME.

Financial Disclosure:


Back to previous