Retina-Vitreous
2007 , Vol 15 , Num 1
Cystoid Macular Edema After Anterior Segment Surgery
1Dr. Sami Ulus Çocuk Hast. Eğt. ve Araş. Hast., Göz Hastalıkları Birimi, Uzm. Dr.2Ankara Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Ankara, Prof. Dr.
3Ankara üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Ankara, Araş. Gör. Dr. Cystoid macular edema is one of the most common reasons of decreased visual acuity after anterior segment surgery. The diagnosis of cystoid macula edema may not be possible without fluorescein angiography in spite of careful fundus examination. Optical coherence tomography is useful in documenting the cystoid spaces, measuring the retinal thickness, and monitoring the response to treatment. Spontaneous regression has been reported to be 80% in eyes with cystoid macula edema after cataract surgery. Therefore, cases with mild inflammation and decreased vision may be followed without treatment. The use of prophylactic treatment is contraversial, although many published studies have shown some benefit. Medical treatment consists of topical and subTenon steroids, topical nonsteroidal anti-inflammatory drugs and acetazolamide, whereas intravitreal triamcinolone and vitrectomy are among the surgical treatment options. Keywords : Cystoid macular edema, fluorescein angiography, optical coherence tomography, topical /subTenon/ intravitreal steroid, topical non-steroid anti-inflammatory drugs, acetazolamide, vitrectomy