PSEUDOPHAKIC CYSTOID MACULAR EDEMA: REPORT OF THREE CASES

Abstract

SUMMARY

Pseudophakic cystoid macular edema is a complication which can precede cataracts surgeries that performed intensely in ophthalmology practice. In this case report, three cases that underwent uncomplicated cataract surgery and with symptomatic psuedophakic cystoid macular edema occurrence were presented and risk factors and treatment efficiencies were evaluated. Among these three cases, the cessation of non-steroidal anti-inflammatory drop in the first case, epiretinal membrane on the macula and prostaglandin analogue use in the second case and age related macular degeneration in the third case were determined as the risk factors. Although the central macular thickness exceeded 800 µ in two of the cases medical treatment was initiated. Cystoid macular edema was resolved with this treatment and there was no need for invasive treatments.  As a conclusion, we think that topical and oral medical treatment as the first line therapy for the patients with pseudophakic cystoid macular edema can be efficient.

Keywords

• pseudophakic cystoid macular edeme,cataract,phacoemulsification

PSÖDOFAKİK KİSTOİD MAKÜLA ÖDEMİ : ÜÇ OLGU SUNUMU

Abstract

ÖZET

Psödofakik kistoid maküla ödemi göz hastalıkları pratiğinde yoğun uygulanan katarakt cerrahisinin karşılaşılabilen bir komplikasyonudur. Bu çalışmada, kliniğimizde komplikasyonsuz katarakt cerrahisi geçiren ve sonrasında semptomatik psödofakik kistoid maküla ödemi gelişen üç olgu sunulmuş ve risk faktörleri ve tedavi etkinliği değerlendirilmiştir. Üç vakadan ilk olgu non-steroid antiinflamatuar ilacını kontrolsüz olarak kesmiş olması, ikinci olguda makülada epiretinal membran ve prostoglandin analoğu kullanımı olması, üçüncü olguda ise yaşa bağlı maküla dejenerasyonu bulgularının olması risk faktörleri olarak saptanmıştır.  Santral maküla kalınlığının iki vakada  800 µ aşmasına rağmen medikal tedavi başlanılmış ve bu tedavi ile kistoid maküla ödeminin gerilemiş ve invazif tedavilere gerek kalmamıştır. Sonuç olarak psödofakik kistoid maküla ödemi gelişen hastalarda da öncelikle topikal ve oral olarak başlanan medikal tedavinin etkili olabileceği düşünmekteyiz.

Keywords

• Psödofakik kistoid maküla ödemi,katarakt,fakoemülsifikasyon

References

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