Prevalence of Cystoid Macular Edema After Cataract Surgery in Eyes with Previous Macular Surgery

Sneha Padidam,1,2 George Skopis,2 Michael M Lai1,2 1The Retina Group of Washington, Chevy Chase, MD, USA; 2Department of Ophthalmology, Medstar Washington Hospital Center, Washington, DC, USACorrespondence: Michael M Lai, Tel +301-656-8100, Email mlai@rgw.comObjective: To determine the prevalence an...

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Main Authors: Padidam S, Skopis G, Lai MM
Format: Article
Language:English
Published: Dove Medical Press 2022-02-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/prevalence-of-cystoid-macular-edema-after-cataract-surgery-in-eyes-wit-peer-reviewed-fulltext-article-OPTH
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author Padidam S
Skopis G
Lai MM
author_facet Padidam S
Skopis G
Lai MM
author_sort Padidam S
collection DOAJ
description Sneha Padidam,1,2 George Skopis,2 Michael M Lai1,2 1The Retina Group of Washington, Chevy Chase, MD, USA; 2Department of Ophthalmology, Medstar Washington Hospital Center, Washington, DC, USACorrespondence: Michael M Lai, Tel +301-656-8100, Email mlai@rgw.comObjective: To determine the prevalence and risk factors for cystoid macular edema (CME) after cataract surgery in eyes that have previously undergone macular surgery.Study Design and Methods: Retrospective consecutive interventional case series. Patient medical records and Spectral Domain Optical Coherence Tomography (SD-OCT) were reviewed for eyes that underwent vitrectomy for full thickness macular hole (FTMH), lamellar macular hole (LMH) or epiretinal membrane (ERM) and subsequent cataract surgery at a large private retina practice between 2016 and 2018.Results: Around 9.1% of eyes (22/243) developed CME post cataract surgery. The mean time from macular surgery to cataract surgery was 273 days (range: 87– 797) in eyes with CME and 289 days (range: 22– 897) in eyes without CME (p = 0.67). There was no difference in final visual acuity between eyes with CME (20/40, logMAR 0.312) and without CME (20/30, logMAR 0.206) (p = 0.101). Compared with patients with FTMH or LMH, patients with epiretinal membrane were more likely to develop post cataract CME (OR = 2.97, p = 0.031, Chi square test).Conclusion: In eyes with history of macular surgery, the prevalence of post cataract surgery CME was around 9.1%. The development of CME is not dependent on timing of cataract surgery but is more common in eyes with history of epiretinal membrane.Keywords: cystoid macular edema, macular hole, epiretinal membrane, pseudophakic cystoid macular edema
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spelling doaj.art-bea189400aa04357bc4f55b12db4bbff2022-12-21T18:07:20ZengDove Medical PressClinical Ophthalmology1177-54832022-02-01Volume 1642342772946Prevalence of Cystoid Macular Edema After Cataract Surgery in Eyes with Previous Macular SurgeryPadidam SSkopis GLai MMSneha Padidam,1,2 George Skopis,2 Michael M Lai1,2 1The Retina Group of Washington, Chevy Chase, MD, USA; 2Department of Ophthalmology, Medstar Washington Hospital Center, Washington, DC, USACorrespondence: Michael M Lai, Tel +301-656-8100, Email mlai@rgw.comObjective: To determine the prevalence and risk factors for cystoid macular edema (CME) after cataract surgery in eyes that have previously undergone macular surgery.Study Design and Methods: Retrospective consecutive interventional case series. Patient medical records and Spectral Domain Optical Coherence Tomography (SD-OCT) were reviewed for eyes that underwent vitrectomy for full thickness macular hole (FTMH), lamellar macular hole (LMH) or epiretinal membrane (ERM) and subsequent cataract surgery at a large private retina practice between 2016 and 2018.Results: Around 9.1% of eyes (22/243) developed CME post cataract surgery. The mean time from macular surgery to cataract surgery was 273 days (range: 87– 797) in eyes with CME and 289 days (range: 22– 897) in eyes without CME (p = 0.67). There was no difference in final visual acuity between eyes with CME (20/40, logMAR 0.312) and without CME (20/30, logMAR 0.206) (p = 0.101). Compared with patients with FTMH or LMH, patients with epiretinal membrane were more likely to develop post cataract CME (OR = 2.97, p = 0.031, Chi square test).Conclusion: In eyes with history of macular surgery, the prevalence of post cataract surgery CME was around 9.1%. The development of CME is not dependent on timing of cataract surgery but is more common in eyes with history of epiretinal membrane.Keywords: cystoid macular edema, macular hole, epiretinal membrane, pseudophakic cystoid macular edemahttps://www.dovepress.com/prevalence-of-cystoid-macular-edema-after-cataract-surgery-in-eyes-wit-peer-reviewed-fulltext-article-OPTHcystoid macular edemamacular holeepiretinal membranepseudophakic cystoid macular edema
spellingShingle Padidam S
Skopis G
Lai MM
Prevalence of Cystoid Macular Edema After Cataract Surgery in Eyes with Previous Macular Surgery
Clinical Ophthalmology
cystoid macular edema
macular hole
epiretinal membrane
pseudophakic cystoid macular edema
title Prevalence of Cystoid Macular Edema After Cataract Surgery in Eyes with Previous Macular Surgery
title_full Prevalence of Cystoid Macular Edema After Cataract Surgery in Eyes with Previous Macular Surgery
title_fullStr Prevalence of Cystoid Macular Edema After Cataract Surgery in Eyes with Previous Macular Surgery
title_full_unstemmed Prevalence of Cystoid Macular Edema After Cataract Surgery in Eyes with Previous Macular Surgery
title_short Prevalence of Cystoid Macular Edema After Cataract Surgery in Eyes with Previous Macular Surgery
title_sort prevalence of cystoid macular edema after cataract surgery in eyes with previous macular surgery
topic cystoid macular edema
macular hole
epiretinal membrane
pseudophakic cystoid macular edema
url https://www.dovepress.com/prevalence-of-cystoid-macular-edema-after-cataract-surgery-in-eyes-wit-peer-reviewed-fulltext-article-OPTH
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AT skopisg prevalenceofcystoidmacularedemaaftercataractsurgeryineyeswithpreviousmacularsurgery
AT laimm prevalenceofcystoidmacularedemaaftercataractsurgeryineyeswithpreviousmacularsurgery