Posters

Incidence of pseudophakic cystoid macular edema in patients with pseudoexfoliation syndrome

Poster Details

First Author: I.Petric Vickovic CROATIA

Co Author(s):    V. Lacmanović Lončar   P. Vincekovic   Z. Vatavuk   S. Vukelić   M. Radmilovic   B. Mihaljevic     

Abstract Details

Purpose:

To investigate the incidence of cystoide macular edema (CME) after cataract surgery in patients with pseudoexfoliation syndrome (PEX).

Setting:

University hospital Sestre milosrdnice

Methods:

This prospective study included 40 eyes with PEX of 40 chosen patients who underwent routine cataract surgery and 40 eyes of healthy patients as control group. Exclusion criteria were preexisting pathology known to predispose CME (intraoperative capsule rupture, epiretinal membrane, uveitis, retinal vein occlusion, retinal detachement and diabetes melitus). All subjects underwent complete ophthalmic evaluation (UCVA/BCVA, IOP, BMS slit lamp examination and fundoscopy, ) on the day of the surgery, and postoperatively at 7 and 42 days.  Primary outcome measure was CME (increase in foveal central subfield thickness of >10% and cystic changes on OCT).

Results:

Overall, 80 eyes (40 with pseudoexfoliation syndrome and 40 as control group) were compared. Preoperative menan foveal central subfield thickness in PEX group was 252 +/- 19 microns and in the control group 250 +/- 18 microns. The incidence of pseudophakic cystoid macular edema after 6 weeks postoperatively was higher in patiens with pseudoexfoliation syndrome.

Conclusions:

Pseudophakic cystoid macular edema occurs after phacoemulsification cataract surgery. The pseudoexfoliative syndrome increases the risk of developing PCME.

Financial Disclosure:

None