Abstract
Cystoid macular edema (CME) after lens surgery (Irvine-Gass Syndrome) requires the attention of cataract surgeons due to its high absolute incidence and potentially irreversible visual loss. In this chapter, we discuss the etiology, risk factors and clinical course of postoperative CME. It also discusses evidence-based treatment methods and prophylactic measures and supplements these with personal experience and recommendations of the author.
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References
Gass JD, Norton EW. Fluorescein studies of patients with macular edema and papilledema following cataract extraction. Trans Am Ophthalmol Soc. 1966;64:232–49.
Irvine SR. A newly defined vitreous syndrome following cataract surgery. Am J Ophthalmol. 1953;36(5):599–619.
Packer M, Lowe J, Fine H. Incidence of acute postoperative cystoid macular edema in clinical practice. J Cataract Refract Surg. 2012;38(12):2108–11.
Riley AF, Malik TY, Grupcheva CN, Fisk MJ, Craig JP, McGhee CN. The Auckland cataract study: co-morbidity, surgical techniques, and clinical outcomes in a public hospital service. Br J Ophthalmol. 2002;86(2):185–90.
Hunter AA, Modjtahedi SP, Long K, Zawadzki R, Chin EK, Caspar JJ, et al. Improving visual outcomes by preserving outer retina morphology in eyes with resolved pseudophakic cystoid macular edema. J Cataract Refract Surg. 2014;40(4):626–31.
Mayer WJ, Kurz S, Wolf A, Kook D, Kreutzer T, Kampik A, et al. Dexamethasone implant as an effective treatment option for macular edema due to Irvine-Gass syndrome. J Cataract Refract Surg. 2015;41(9):1954–61.
Wielders LHP, Schouten J, Winkens B, van den, Biggelaar F, Veldhuizen CA, Findl O, et al European multicenter trial of the prevention of cystoid macular edema after cataract surgery in nondiabetics: ESCRS PREMED study report 1. J Cataract Refract Surg. 2018;44(4):429–39.
Wielders LHP, Schouten J, Winkens B, van den,. Biggelaar F, Veldhuizen CA, Murta JCN, et al Randomized controlled European multicenter trial on the prevention of cystoid macular edema after cataract surgery in diabetics: ESCRS PREMED Study Report 2. J Cataract Refract Surg. 2018;44(7):836–47.
Henderson BA, Kim JY, Ament CS, Ferrufino-Ponce ZK, Grabowska A, Cremers SL Clinical pseudophakic cystoid macular edema. Risk factors for development and duration after treatment. J Cataract Refract Surg. 2007;33(9):1550–8
Donnenfeld ED, Perry HD, Wittpenn JR, Solomon R, Nattis A, Chou T Preoperative ketorolac tromethamine 0.4% in phacoemulsification outcomes: pharmacokinetic-response curve. J Cataract Refract Surg. 2006;32(9):1474–82
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Luft, N. (2023). Treatment of Postoperative Cystoid Macular Edema. In: Shajari, M., Priglinger, S., Kohnen, T., Kreutzer, T.C., Mayer, W.J. (eds) Cataract and Lens Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-05394-8_88
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DOI: https://doi.org/10.1007/978-3-031-05394-8_88
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