Uncomplicated cataract surgery and cystoid macular edema

Session Details

Session Title: Presented Poster Session: Cataract Surgery Complications and Management

Session Date/Time: Saturday 05/09/2015 | 09:30-10:50

Paper Time: 10:40

Venue: Poster Village: Pod 1

First Author: : M.Kucharova SLOVAKIA

Co Author(s): :    E. Trizuljakova              

Abstract Details

Purpose:

To report case of patient with CME after uncomplicated cataract surgery, how can we avoid this complication and therapeutical option.

Setting:

Eye Center Vistamet, Slovakia

Methods:

Research is focused on pacient who undergone an uncomplicated cataract surgery in our eye center (Vistamet, Slovakia) with postoperative visual aculty 5/5 and after 2 weeks decrease to 5/20. Review of patient who had a blurred vision after uncomplicated cataract surgery. Macular edema was revealed by ocular examination and confirmed by OCT (ocular coherent tomography). Research focused on reasons why CME developed /informations from literature, internet and our experiences/.

Results:

Peroperative reasons: Anaesthesia- intracameral using of lidocain causes significant changes of thickness in inner macular zone Operating microscope light– electromagnetic radiation induces production of free radicals - Retinal outer segments are vulnerable to free radicals because of large concentration of cell membrans - Radiation 400 - 1400 nm = retinal danger Therapy: Combination nepafenac with dexamethason seems to be the most effective therapy for CME after cataract surgery.

Conclusions:

Prevention of cystoid macular edema can be possible, we must be careful about microscope lightening, quantitiy of lidocain, patient case history and postoperative protection. When CME develop, the most effective therapy is nepafenac in combination with dexamethasone.

Financial Interest:

NONE