PSEUDOPHAKIC CYSTOID MACULAR EDEMA: REPORT OF THREE CASES

Year 2017, Volume: 1 Issue: 1, 18 - 22, 02.08.2017

Osman Ahmet Polat , Raşit Kılıç , Özkan Kocamış , Ali Kurt

Abstract

SUMMARY

Pseudophakic
cystoid macular edema is a complication which can precede cataracts surgeries
that performed intensely in ophthalmology practice. In this case report, three
cases that underwent uncomplicated cataract surgery and with symptomatic
psuedophakic cystoid macular edema occurrence were presented and risk factors
and treatment efficiencies were evaluated. Among these three cases, the
cessation of non-steroidal anti-inflammatory drop in the first case, epiretinal
membrane on the macula and prostaglandin analogue use in the second case and
age related macular degeneration in the third case were determined as the risk
factors. Although the central macular thickness exceeded 800 µ in two of the
cases medical treatment was initiated. Cystoid macular edema was resolved with
this treatment and there was no need for invasive treatments.  As a
conclusion, we think that topical and oral medical treatment as the first line
therapy for the patients with pseudophakic cystoid macular edema can be
efficient.

Keywords

pseudophakic cystoid macular edeme, cataract, phacoemulsification

PSÖDOFAKİK KİSTOİD MAKÜLA ÖDEMİ : ÜÇ OLGU SUNUMU

Abstract

ÖZET

Psödofakik
kistoid maküla ödemi göz hastalıkları pratiğinde yoğun uygulanan katarakt
cerrahisinin karşılaşılabilen bir komplikasyonudur. Bu çalışmada, kliniğimizde
komplikasyonsuz katarakt cerrahisi geçiren ve sonrasında semptomatik psödofakik
kistoid maküla ödemi gelişen üç olgu sunulmuş ve risk faktörleri ve tedavi
etkinliği değerlendirilmiştir. Üç vakadan ilk olgu non-steroid antiinflamatuar
ilacını kontrolsüz olarak kesmiş olması, ikinci olguda makülada epiretinal
membran ve prostoglandin analoğu kullanımı olması, üçüncü olguda ise yaşa bağlı
maküla dejenerasyonu bulgularının olması risk faktörleri olarak
saptanmıştır.  Santral maküla kalınlığının iki vakada  800 µ aşmasına
rağmen medikal tedavi başlanılmış ve bu tedavi ile kistoid maküla ödeminin
gerilemiş ve invazif tedavilere gerek kalmamıştır. Sonuç olarak psödofakik
kistoid maküla ödemi gelişen hastalarda da öncelikle topikal ve oral olarak
başlanan medikal tedavinin etkili olabileceği düşünmekteyiz.

Keywords

Psödofakik kistoid maküla ödemi, katarakt, fakoemülsifikasyon

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