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May 1958

Macular Edema, Papilledema, and Optic Atrophy After Cataract Extraction

Author Affiliations

From the Wilmer Ophthalmological Institute of The Johns Hopkins Hospital and University.

AMA Arch Ophthalmol. 1958;59(5):665-675. doi:10.1001/archopht.1958.00940060049005

This paper deals with the entities of macular edema, papilledema, and optic atrophy which occasionally follow apparently uneventful cataract surgery.

This discussion may be prefaced by noting that papilledema in association with ocular hypotony is a well-established clinical entity. Such changes have been observed following perforation of the globe, trauma to the eye without perforation, prolonged inflammation, and, especially, fistulizing operations for glaucoma. The importance of decreased intraocular pressure in the pathogenesis of this lesion is well established by many clinicopathologic and experimental studies.1 Brégeat2 has pointed out that in addition to papilledema there may be extension of edema into the macula which, if persistent, may result in macular cyst formation and degeneration. Thus it is well established that a variety of insults which produce hypotony may also be accompanied by the production of macular edema.

Reports of papilledema and macular edema following cataract surgery, however, have been

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