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Journals / Retina-Vitreus / 2002 / Cilt: 10 - Sayı: 1

The incidence of pseudophakic cystoid macular edema after cataract surgery

Katarakt cerrahisi sonrası psödofakik kistoid makula ödemi insidansı

Evren ERDİNÇ
D. Pınar DEMİRBAY
Özay ÖZ
M. Yasin TEKE
İbrahim TAŞKINTUNA
Feray KOÇ
Gültekin KÖKLÜ
Esin FIRAT
Pages
53–59
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: It was concluded that, the incidence of pseudophakic CME is increased in complicated cases with posterior capsule rupture and vitreous loss compared to uncomplicated cases.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: To evaluate the incidence of cystoid macular edema (CME) after standard extracapsular cataract extraction (ECCE) and phacoemulsification (phaco) in cases without any complication and in cases with posterior capsule rupture and vitreous loss.
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Key Findings & Data:Method: 23 eyes of 23 cases who had standard ECCE and posterior chamber Intraocular lens (IOL) implantation (Group 1), 21 eyes of 21 cases who had phaco and posterior chamber IOL implantation (Group 2), and 18 cases complicated with posterior capsule rupture and vitreous loss with appropriate IOL, implantation including 8 eyes of 8 cases who had ECCE (Group 3) and 10 eyes of 10 cases who had phaco (Group 4) were included in the study.
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Conclusion & Impact:Conclusion: It was concluded that, the incidence of pseudophakic CME is increased in complicated cases with posterior capsule rupture and vitreous loss compared to uncomplicated cases.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Maküler ödem · sistoid · Katarakt çıkartılması

Abstract

Purpose: To evaluate the incidence of cystoid macular edema (CME) after standard extracapsular cataract extraction (ECCE) and phacoemulsification (phaco) in cases without any complication and in cases with posterior capsule rupture and vitreous loss. Method: 23 eyes of 23 cases who had standard ECCE and posterior chamber Intraocular lens (IOL) implantation (Group 1), 21 eyes of 21 cases who had phaco and posterior chamber IOL implantation (Group 2), and 18 cases complicated with posterior capsule rupture and vitreous loss with appropriate IOL, implantation including 8 eyes of 8 cases who had ECCE (Group 3) and 10 eyes of 10 cases who had phaco (Group 4) were included in the study. All cases were evaluated on the first day, at 1st, 2nd and 6th week postoperatively and at the postoperative 6th week CME was evaluated by the fundus fluorescein angiography (FFA) in all cases. Results: At the postoperative 6th week, angiographic CME was not observed in Group 1 and 2. Angiography revealed a characteristic petalloid pattern of CME in 5 cases (62.5%) of Group 3 and 4 cases (40%) of Group 4. When the groups are compared for CME, a statistically significant difference was observed between Group 1 and 3, Group 1 and 4, Group 2 and 3, Group 2 and 4. Conclusion: It was concluded that, the incidence of pseudophakic CME is increased in complicated cases with posterior capsule rupture and vitreous loss compared to uncomplicated cases.

Özet

Amaç: Standart ekstrakapsüler katarakt ekstraksiyonu (EKKE) ve fakoemülsifikasyon (fako) yöntemleri ile katarakt cerrahisi uygulanan komplikasyonsuz olgular ile arka kapsül rüptürü gelişerek vitreus kaybı gözlenen olgularda kistoid makula ödemi (KMÖ) insidansının değerlendirilmesi. Yöntem: Standart EKKE ve arka kamara göziçi lensi (GİL) implante edilen 23 olgunun 23 gözü (Grup I), fako ve arka kamara GİL implante edilen 21 olgunun 21 gözü (Grup 2) ile arka kapsül rüptürü gelişen ve ön vitrektomi yapıldıktan sonra uygun GİL EKKE uygulanan 8 olgunun 8 gözü (Grup 3) ve fako uygulanan 10 olgunun 10 gözü (Grup 4) çalışma kapsamına alındı. Postoperatif 1.gün, 1.hafta, 2.hafta ve 6.haftada kontrol muayeneleri yapılan olgular, postoperatif 6.haftada fundus floresein anjiografi (FFA) ile KMÖ açısından değerlendirildi. Bulgular: Postoperatif 6.haftada, Grup 1 ve 2'de anjiografik KMÖ gözlenmedi. Grup 3'de 5 olguda (%62.5), Grup 4'de 4 olguda (%40) KMÖ'in petaloid görünümde tipik floresein anjiografi görüntüsü izlendi. KMÖ açısından gruplar karşılaştırıldığında, Grup 1 ile 3 arasında, Grup 1 ile 4 arasında, Grup 2 ile 3 arasında ve Grup 2 ile 4 arasında istatistiksel olarak oldukça anlamlı farklılık olduğu saptandı (p<0.05). Sonuç: Psödofakik KMÖ insidansının arka kapsül rüptürü gelişen ve ön vitrektomi yapılan komplikasyonlu olgularda, komplikasyonsuz olgulara göre artmış olduğu gözlendi.

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Cite This Article

ERDİNÇ, E., DEMİRBAY, D. P., ÖZ, Ö., TEKE, M. Y., TAŞKINTUNA, İ., KOÇ, F., KÖKLÜ, G., FIRAT, E. (2002). The incidence of pseudophakic cystoid macular edema after cataract surgery. Retina-Vitreus, Cilt: 10 - Sayı: 1, 53–59. https://ajindex.com/articles/305409

References (18)

  1. The Miami Study Group: Cystoid macular edema in aphakic and pseudophakic eyes. Am J Ophthalmol 1979,88:45
  2. Stark WJ, Worthen DM, Holladay JT, et al: The FDA report on intraocular lenses. Ophthalmology 1983, 90:311
  3. Irvine SR: A newly defined vitreous syndrome following cataract surgery. Am J Ophthalmol 1953, 36: 599
  4. Gass JDM, Norton EWD: Cystoid macular edema and papilledema following cataract extraction: A flu-orescein funduscopic and angiographie study. Arch Ophthalmol 1966,76:646
  5. Mao LK, Holland PM: "Very late onset" cystoid macular edema. Ophthalmic Surg 1988, 19:633
  6. Klein RM, Yanuzzi L: Cystoid macular edema in the first week after cataract extraction. Am J Ophtalmol 1976,81:614
  7. Atmaca L.S: Makula ödemi: klinik seyir. Ret-Vit 2000, 8:22
  8. Albert D.M, Jakobiec FA: Cystoid macular edema after ocular surgery. In Berson EL, D'Amico DJ, Gra-goudas ES, Schepens CL, editors: Principles and practice of Ophthalmology Saunders Co. Philadelphia, 1994, Vol 2 P: 898-906
  9. Jaffe NS, dayman HM, Jaffe MS: Cystoid macular edema after intracapsular and extracapsular cataract extraction with and without an intraocular lens. Ophthalmology 1982, 89:25-29
  10. Stark WJ Jr, Maumenee AE, Fagadau W, et al: Cystoid macular edema in pseudophakia. Surv Oph-thalmor 1984, 28 (suppl): 442
  11. Langerman DW: Architectural design of self-sealing corneal tunnel, single-hinge incision. J Cataract Refract Surg 1994,20:84-88
  12. Miyake K: Prevention of cystoid macular edema after lens extraction by topical indomethacine (I). A preliminary report. Graefes Arch Clin Exp Ophthalmol 1977,203:81
  13. Fung WE: Aphakic cystoid macular edema. In Ryan SJ: Medical Retina The CV Mosby Co. St. Louis, 1989, Vol 2 P: 767-787
  14. Fung WE: Vitrectomy for chronic aphakic cystoid macular edema. Results of a national, collaborative, prospective, randomised investigation. Ophthalmology 1985,92:1102
  15. Flach AJ, Dolan BJ, Irvine AR: Effectiveness of ke-torolac tromethamine 0.5% ophthalmic solution for chronic aphakic and pseudophakic cystoid macular edema. Am J Ophthalmol 1987, 103: 479
  16. Tolentino FI, Schepens CL: Edema of the posterior pole after cataract extraction: a biomicroscopic study. Arch Ophthalmol 1965,74:781-786
  17. Sebag J, Balazs EA: Pathogenesis of cystoid macular edema: an anatomic consideration of vitreoretinal adhesions. Surv Ophthalmol 1984, 28 (Suppl): 493-498
  18. Schepens CL, Avila MP, Jalkh AE, et al: Role of the vitreous in cystoid macular edema. S