Volume 3, Issue 3, May 2014, Page: 43-45
Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report
Hatem Barhoom, Optometry department, Faculty of health science, Islamic University of Gaza, Gaza strip, Palestine
Sharanjeet -Kaur, Optometry Department, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda, Kuala Lumpur, Malaysia
Sabri Kamarudin, Ophthalmology Clinic, Hospital Selayang, Lebohraya Selayang – Kepong, 68100 Batu Caves, Selangor, Malaysia
Received: Apr. 20, 2014;       Accepted: May 26, 2014;       Published: Jun. 10, 2014
DOI: 10.11648/j.sjcm.20140303.13      View  2862      Downloads  162
Abstract
One of the major risk factors for conversion from Phacoemulsification (Phaco) to Extracapsular Cataract Extraction (ECCE) is the Posterior capsule rupture. The capsule rupture or any cause leads to Vitreous Loss (VL) will develop tractional inflammation to the retina and Cystoid Macular Edema (CME) will occur. A 65 years old Chinese man had a history of left eye phaco converted to ECCE, anterior vitrectomy and Anterior Chamber Intra Ocular Lens (ACIOL) implant was done due to complication by inferior zonulolysis and VL. After 10 months he complained of dropped Best Corrected Visual Acuity (BCVA) in the operated eye and he was diagnosed to have CME. The diagnosis was done using Optical Coherence Tomography (OCT).Incomplete Posterior Vitreous Detachment (PVD) increases the risk of CME development, and this may make it necessary to start treatment before cataract surgery to reduce the incidence or improve the prognosis of the condition. In this case, PVD was diagnosed in the right eye suggesting that it will be at higher risk to develop CME in case of cataract surgery when it is complicated by VL and starting CME treatment before the surgery will be highly recommended.
Keywords
Cataract, Cystoid, Vitreous Loss, OCT
To cite this article
Hatem Barhoom, Sharanjeet -Kaur, Sabri Kamarudin, Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report, Science Journal of Clinical Medicine. Vol. 3, No. 3, 2014, pp. 43-45. doi: 10.11648/j.sjcm.20140303.13
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