Cystoid macular edema after phacoemulsification: risk factors and effect on visual acuity

Single perioperative subconjunctival steroid depot versus postoperative steroid eyedrops to prevent intraocular inflammation and macular edema after cataract surgery

“…Although the pathogenesis of macular edema is still uncertain, it appears to be associated with postoperative inflammation. 1,2 Corticosteroidal agents are known to be effective suppressants of postoperative ocular inflammation and are widely used as standard clinical routine. Several studies report the differences in corneal penetration of various topical corticosteroidal agents and their associated variability in anterior chamber concentrations.…”

“…24 The definition of post-cataract macular edema, and thus its incidence, varies among studies. 1,2,15,16,[24][25][26][27][28][29] Macular edema has been defined as a relative increased diffuse thickening, presenting with or without cystoid abnormalities and with or without visual loss. More specifically, it has been presented as a relative increase of 30% or 40% or as an increase of 2 times the SD.…”

“…15,16 Alternatively, and especially when baseline data are missing, a cutoff point has been used. 14,15,26 To allow a comparison between the results in our study and those in other studies, we recalculated the incidence of macular edema in our study groups based on the various definitions that were used in the other studies 1,2,15,16,[24][25][26][27][28][29] (Table 7). None of these recalculated incidences appeared to be significantly different from those in our 2 groups.…”

Early serous macular detachment after phacoemulsification surgery

“…1 Pseudophakic CME typically takes 4 to 12 weeks to develop and is recognized as the most common cause of decreased visual acuity after uneventful cataract surgery. 2 Serous macular detachment associated with macular edema can occur in a variety of ischemic, inflammatory, neoplastic, and idiopathic conditions. 3 To our knowledge, acute serous macular detachment on the first day after phacoemulsification surgery has not been reported.…”

Objective assessment of inflammation after cataract surgery: Comparison of 3 similar intraocular lens models

“…However, postoperative inflammation merits ongoing consideration in the interest of patient safety because it is associated with complications such as cystoid macular edema. 1 Transient increases in cells and flare in the anterior chamber are thought to be associated with breakdown of the blood-aqueous barrier resulting from surgical trauma. [2][3][4] Anecdotal observations have been made that the yellow chromophore present in the AcrySof SN60AT IOL (Alcon Laboratories, Inc.) to filter blue light induces additional postoperative intraocular inflammation.…”