Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report

Hatem Barhoom; Sharanjeet -Kaur; Sabri Kamarudin

doi:doi:10.11648/j.sjcm.20140303.13

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Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report

Hatem Barhoom, Sharanjeet -Kaur, Sabri Kamarudin

Published in Science Journal of Clinical Medicine (Volume 3, Issue 3)

Received: 20 April 2014 Accepted: 26 May 2014 Published: 10 June 2014

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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.

Published in	Science Journal of Clinical Medicine (Volume 3, Issue 3)
DOI	10.11648/j.sjcm.20140303.13
Page(s)	43-45
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Cataract, Cystoid, Vitreous Loss, OCT

References

[1]	Kanski, J. 2011. Clinical Ophthalmology: A Systematic Approach, 7th Edition, 288.
[2]	Preston, H.B., Rajiv, M.R. 2002. Visual outcomes after vitreous loss during cataract surgery performed by residents. J Cataract Refract Surg 28:847–852.
[3]	Sebag, J., Balazs, E.A. 1984 Pathogenesis of cystoid macular edema: An anatomic consideration of vitreoretinal adhesions. Surv Ophthalmol 28: 493-8.
[4]	Yavas, G. F., Ozturk, F., Kusbeci, T. 2007. Preoperative topical indomethacin to prevent pseudophakic cystoid macular edema. J Cataract Refract Surg 33:804–807.
[5]	Wolter, J.R. Foreign body giant cells on intraocular lens implants. Graefe’s Archive for Clinical and Experimental Ophthalmology 219:103-111.
[6]	Puck, A., Tso, M. O. M., Yue, B. 1985. Cellular deposits on intraocular lenses. Acta Ophthalmologica 63: 54–60.
[7]	Aroca, P. R., Ballart, J. F., Garcia, M. A., et al. 2006. Nonproliferative diabetic retinopathy and macular edema progression after phacoemulsification: Prospective study. J Cat-aract Refract Surg 32:1438–1444.
[8]	Pearson, P.A., Owen, D.G., Maliszewski, M., Smith, T.J. 1989. Anterior chamber lens implantation after vitreous loss. Br J Ophthal 73:596-599.
[9]	Roldan, M., Serrano, J.M. 1989. Macular edema and vitreous detachment. Ann Ophthalmol 21(4):141-8.

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APA Style

Hatem Barhoom, Sharanjeet -Kaur, Sabri Kamarudin. (2014). Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report. Science Journal of Clinical Medicine, 3(3), 43-45. https://doi.org/10.11648/j.sjcm.20140303.13

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ACS Style

Hatem Barhoom; Sharanjeet -Kaur; Sabri Kamarudin. Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report. Sci. J. Clin. Med. 2014, 3(3), 43-45. doi: 10.11648/j.sjcm.20140303.13

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AMA Style

Hatem Barhoom, Sharanjeet -Kaur, Sabri Kamarudin. Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report. Sci J Clin Med. 2014;3(3):43-45. doi: 10.11648/j.sjcm.20140303.13

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@article{10.11648/j.sjcm.20140303.13,
  author = {Hatem Barhoom and Sharanjeet -Kaur and Sabri Kamarudin},
  title = {Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report},
  journal = {Science Journal of Clinical Medicine},
  volume = {3},
  number = {3},
  pages = {43-45},
  doi = {10.11648/j.sjcm.20140303.13},
  url = {https://doi.org/10.11648/j.sjcm.20140303.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20140303.13},
  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.},
 year = {2014}
}

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TY  - JOUR
T1  - Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report
AU  - Hatem Barhoom
AU  - Sharanjeet -Kaur
AU  - Sabri Kamarudin
Y1  - 2014/06/10
PY  - 2014
N1  - https://doi.org/10.11648/j.sjcm.20140303.13
DO  - 10.11648/j.sjcm.20140303.13
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 43
EP  - 45
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20140303.13
AB  - 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.
VL  - 3
IS  - 3
ER  -

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Author Information

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

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Plain Text BibTeX RIS

APA Style

Hatem Barhoom, Sharanjeet -Kaur, Sabri Kamarudin. (2014). Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report. Science Journal of Clinical Medicine, 3(3), 43-45. https://doi.org/10.11648/j.sjcm.20140303.13

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ACS Style

Hatem Barhoom; Sharanjeet -Kaur; Sabri Kamarudin. Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report. Sci. J. Clin. Med. 2014, 3(3), 43-45. doi: 10.11648/j.sjcm.20140303.13

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AMA Style

Hatem Barhoom, Sharanjeet -Kaur, Sabri Kamarudin. Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report. Sci J Clin Med. 2014;3(3):43-45. doi: 10.11648/j.sjcm.20140303.13

Copy | Download

@article{10.11648/j.sjcm.20140303.13,
  author = {Hatem Barhoom and Sharanjeet -Kaur and Sabri Kamarudin},
  title = {Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report},
  journal = {Science Journal of Clinical Medicine},
  volume = {3},
  number = {3},
  pages = {43-45},
  doi = {10.11648/j.sjcm.20140303.13},
  url = {https://doi.org/10.11648/j.sjcm.20140303.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20140303.13},
  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.},
 year = {2014}
}

Copy | Download

TY  - JOUR
T1  - Cystoid Macular Edema in Complicated Cataract Surgery: A Case Report
AU  - Hatem Barhoom
AU  - Sharanjeet -Kaur
AU  - Sabri Kamarudin
Y1  - 2014/06/10
PY  - 2014
N1  - https://doi.org/10.11648/j.sjcm.20140303.13
DO  - 10.11648/j.sjcm.20140303.13
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 43
EP  - 45
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20140303.13
AB  - 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.
VL  - 3
IS  - 3
ER  -

Copy | Download