Postoperative, or pseudophakic, macular edema
https://doi.org/10.21516/2072-0076-2020-13-4-64-69
Abstract
Causes of macular edema (ME) occurring on the pseudophakic eye after cataract phacoemulsification, and methods of its diagnosis and prevention are analyzed. As follows from the literature and our own data, the term “pseudophakic ME” better reflects the condition that the term “postoperative ME” as it takes into account the diversity of pathogenetic complications. Accordingly, we propose to include this term into the ICD list.
About the Author
I. E. Ioshin
Clinical Hospital
Russian Federation
Russian Federation
Igor E. Ioshin — Dr. of Med. Sci., professor, head of ophthalmological department
45, Losinoostrovskaya St., Moscow, 107143
References
1. Astakhov S.Yu., Gobedzhishvili M.V. Postoperative macular edema, Irvine — Gass syndrome. Klinicheskaya oftal’mologiya. 2010; 1: 5–10 (in Russian).
2. Gobedzhishvili M.V., Astakhov S.Yu., Kugleev A.A. Macular edema in pseudophakia. Oftal'mologicheskie vedomosti. 2011; 4: 57–9 (in Russian).
3. Fedorov S.N., Egorova E.V. Errors and complications in the implantation of an artificial lens. Moscow; 1992 (in Russian).
4. Ioshin I.E. Intraocular correction of aphakia. Moscow: Аprel'; 2014 (in Russian).
5. Irvine A.V. Macular edema after cataract extraction. Am. J. Ophthalmol. 1953; 36: 599–619.
6. Gass J.D., Norton E.V. Cystoid macular edema and papilledema following cataract extraction. A fluorescein funduscopic and angiographic study. Arch. Ophthalmol. 1966 Nov; 76 (5): 646–61. doi: 10.1001/archopht.1966.03850010648005
7. Fedorov S.N. Implantation of an artificial lens. Moscow: Meditcina; 1977 (in Russian).
8. Binkchorst C.D., Leonard P.A. Results of 208 iris-clip pseudophakos implantations. Amer. J. Ophthalmol. 1967; 64 (5): 947–56. https://doi.org/10.1016/0002-9394(67)92241-6
9. Choyce D.P. Cataract surgery and intraocular implants. Lancet. 1970 Jun 27; 1 (7661): 1400. doi: 10.1016/s0140-6736(70)91310-3
10. Jaffe N.S., Clayman H.M., Jaffe M.S. The results of lens implantation in eyes with operative loss of vitreous. J. Amer. Intraocular Implant Soc. 1980 Jul; 6 (3): 243–5. doi: 10.1016/s0146-2776(80)80069-3
11. Irvine A.V. Cystoid maculopathy. Surv. Ophthalmol. Jul-Aug 1976; 21 (1): 1–17. doi: 10.1016/0039-6257(76)90045-x
12. Goodman D.F., Stark W.J., Gottisch J.D. Complication of cataract extraction with intraocular lens implantation. Ophthalmic Surgery, Lasers and Imaging Retina. 1989; 20 (2): 132–40. https://doi.org/10.3928/1542-8877-19890201-15
13. Severin T.D., Severin S.L. Pseudophakic cystoid macular edema: a revised comparasion of incidence with intracapsular and extracapsular extraction. Ophthalmic. Surg. 1988 Feb; 19 (2): 116–8. PMID:3347455
14. Flach A.J. The incidence, pathogenesis and treatment of cystoid macular edema following cataract surgery. Trans. Am. Ophthal. Soc. 1998; 96: 557–634. PMID: 10360304
15. Fedorov S.N., Ronkina T.K., Pashinova N.F. Comparative analysis of the main types of fixation of intraocular lenses. In: Surgery of cataract. Moscow; 1983: 93–102 (in Russian).
16. Ioshin I.E., Tolchinskaya A.I., Ozderbaeva A.A. Using nonsteroidal anti-inflammatory drugs to prevent retinal macular edema after age-related cataract phacoemulsification. Russian ophthalmological journal. 2016; 9 (2): 77–82 (in Russian). https://doi.org/10.21516/2072-0076-2016-9-2-77-82
17. Tzelikis P., Vieira M., Hida W., et al. Comparison of Ketorolac 0.4% and Nepafenac 0.1% for the prevention of cystoid macular edema after phacoemulsification: prospective placebo-controlled randomised study. Br. J. Ophthalmol. 2015; 99 (5): 654–8. https://doi.org/10.1136/bjophthalmol-2014305803
18. Wielders L.H.P., Schouten J.S.A., Winkens B., et al. European multicenter trial of the prevention of cystoid macular edema after cataract surgery in nondiabetics: ESCRS PREMED study report 1. J. Cataract. Refract Surg. 2018 Apr; 44 (4): 429–39. http://dx.doi.org/10.1016/j.jcrs.2018.01.029
19. Ioshin I.E. Prevention of inflammatory complications after phacoemulsification. Moscow: Аprel'; 2014 (in Russian).
20. Ioshin I.E. Outpatient cataract surgery. Moscow: Аprel'; 2016 (in Russian).
21. Alio J.L., Bodaghi B., Tassignon M.J. Guidelines for managing post-cataract surgery inflammation. Can we rich a consensus. Ophthalmology Times Europe. 2008; 11: 2–11. https://europe.ophthalmologytimes.com/view/guidelines-managing-post-cataract-surgery-inflammation-can-we-reachconsensus
22. Kim S.J. Nonsteroidal anti-inflammatory drugs in ophthalmology. Survey of ophthalmology. 2010; 55 (2): 108–33. https://doi.org/10.1016/j.survophthal.2009.07.005
23. Lim B.X., Lim C.H., Lim D.K., et al. Prophylactic nonsteroidal anti-inflammatory drugs for the prevention of macular oedema after cataract surgery. Cochrane Database Syst. Rev. 2016; 11:CD006683. doi: 10.1002/14651858.CD006683.pub3
24. Lee T.H., Choi W., Ji Y.S., Yoon K.C. Comparison of ketorolac 0.45% versus diclofenac 0.1 % for macular thickness and volume after uncomplicated cataract surgery. Acta Ophthalmol. 2016; 94:e177–e182. doi: 10.1111/aos.12780
25. Stock R.A., Galvan D.K., Godoy R., Bonamigo E.L. Comparison of macular thickness by optical coherence tomography measurements after uneventful phacoemulsification using ketorolac tromethamine, nepafenac, versus a control group, preoperatively and postoperatively. Clin. Ophthalmol. 2018; 12: 607–11. https://doi.org/10.2147/OPTH.S157738
26. Zhao X., Xia S., Wang E., Chen Y. Comparison of the efficacy and patients' tolerability of nepafenac and ketorolac in the treatment of ocular inflammation following cataract surgery: a meta-analysis of randomized controlled trials. PLoS One 2017; 12 (3): e0173254. doi: 10.1371/journal.pone.0173254. eCollection 2017.
27. Federal clinical guidelines for the provision of ophthalmic care to patients with age-related cataract. Expert Council on the Problem of Surgical Treatment of Cataract. LLC “Interregional Association of Ophthalmologists”. Moscow: Oftal'mologiya; 2015 (in Russian). https://3z.ru/upload/documents/Federal_prescribing_cataract_treatment.pdf
28. Chu J., Johnston R.L., Buscombe C., et al. Risk factors and incidence of macular edema after cataract surgery. Ophthalmology. 2016; 123: 316–23. https://doi.org/10.1016/j.ophtha.2015.10.00
29. Malyugin B.E., Marcinkevich A.O. Modern approaches to the prevention of postoperative inflammatory complications in cataract surgery in patients with diabetes mellitus. Oftal'mokhirurgiya. 2016; 1: 85–8 (in Russian). https://doi.org/10.25276/02354160-2016-1-85-90
30. Ioshin I.E., Tolchinskaya А.I., Bagirov А.M. Treatment of postoperative macular edema (clinical observation). Vestnik oftal'mologii. 2018; 134 (3): 99–107. (in Russian). doi: 10.17116/oftalma2018134399
Review
For citations:
Ioshin I.E. Postoperative, or pseudophakic, macular edema. Russian Ophthalmological Journal. 2020;13(4):64-69. (In Russ.) https://doi.org/10.21516/2072-0076-2020-13-4-64-69
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