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June 1987

Cystoid Macular Edema and Corneal-Relaxing Incisions-Reply

Author Affiliations

New Orleans

Arch Ophthalmol. 1987;105(6):742-743. doi:10.1001/archopht.1987.01060060020007

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In Reply.  —In our article, we reported two cases of cystoid macular edema in pseudophakic eyes that underwent corneal-relaxing incisions. The circumstances surrounding each case were described in detail. The reason that we reported these cases was to make other ophthalmologists aware that cystoid macular edema may occur after this procedure in certain patients and that postoperative decreased visual acuity may be caused by cystoid macular edema. We clearly stated in the article that "It is not possible to document with certainty a cause-and-effect relationship between the corneal-relaxing incisions and the occurrence of cystoid macular edema." There were circumstances surrounding each case that may have contributed to the development of cystoid macular edema, as stated in the article. However, the temporal relationship between the corneal-relaxing incisions and the cystoid macular edema led us to believe that the two were associated. The two patients in our article did not undergo radial

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