[Skip to Content]
[Skip to Content Landing]
Article
February 1989

Cystoid Macular Edema Following Cataract Surgery-Reply

Arch Ophthalmol. 1989;107(2):166-167. doi:10.1001/archopht.1989.01070010172004

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

In Reply.  —Dr Flach suggests that my estimate of 10 000 new unhappy patients per year (1% of cases) with chronic, visually significant postcataract CME may be an underestimate because the two studies reviewed employed postoperative topical corticosteroid therapy.1,2 While it is possible that routine postoperative use of corticosteroids decreases the incidence of persistent aphakic or pseudophakic CME, we have no definite evidence to support this hypothesis, in regard to either angiographic or visually significant CME.3,4 However, virtually all cataract surgeons in the United States do indeed use a postoperative topical corticosteroid. Many patients are given topical corticosteroids indefinitely. Thus, an estimated rate of persistent, visually significant CME of approximately 1% to 2% seems appropriate.Dr Flach's next point is that the severity of the angiographic CME may not correlate with the patient's visual acuity. In their recently reported study, with small numbers of patients, Flach et al

References
1.
Kraff MC, Sanders DR, Jampol LM, et al:  Effect of primary capsulotomy with extracapsular surgery on the incidence of pseudophakic cystoid macular edema . Am J Ophthalmol 1984;98:166-170.
2.
Wright PL, Wilkinson CP, Balyeat HD, et al:  Angiographic cystoid macular edema after posterior chamber lens implantation . Arch Ophthalmol 1988;106:740-744.Article
3.
Jampol LM:  Pharmacologic therapy of aphakic cystoid macular edema: A review . Ophthalmology 1982;89:891-897.Article
4.
Jampol LM:  Pharmacologic therapy of aphakic and pseudophakic cystoid macular edema: 1985 update . Ophthalmology 1985;92:807-810.Article
5.
Flach AJ, Dolan BJ, Irvine AR:  Effectiveness of ketorolac tromethamine 0.5% ophthalmic solution for chronic aphakic and pseudophakic cystoid macular edema . Am J Ophthalmol 1987;103:479-486.
6.
Nussenblatt RB, Kaufman SC, Palestine AG, et al:  Macular thickening and visual acuity: Measurement in patients with cystoid macular edema . Ophthalmology 1987;94:1134-1139.Article
×