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Cystoid macular edema in pediatric aphakia
B S Pinchoff1, F D Ellis, E M Helveston
1Indiana University Medical Center, Department of Ophthalmology, Indianapolis.
Journal of Pediatric Ophthalmology and Strabismus
|September 1, 1988
Summary
Cystoid macular edema (CME) following pediatric cataract surgery can impede visual recovery and lead to amblyopia. This study found no evidence of CME in pediatric patients after various cataract extraction procedures.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Retinal Diseases
Background:
- Cystoid macular edema (CME) post-cataract extraction in children can cause irreversible amblyopia, hindering visual rehabilitation.
- Renewed interest in pediatric CME follows recent observations in lensectomy-vitrectomy cases.
Purpose of the Study:
- To investigate the incidence of postoperative cystoid macular edema (CME) in pediatric patients undergoing different types of cataract extraction procedures.
Main Methods:
- The study involved 12 eyes undergoing lensectomy-vitrectomy, 5 undergoing manual extracapsular cataract extraction (ECCE) with posterior capsule discission, 3 undergoing ECCE without discission, and 3 undergoing secondary discissions.
- Postoperative evaluation included angiography to detect CME.
Main Results:
- No instances of cystoid macular edema (CME) were detected through postoperative angiography in any of the pediatric eyes evaluated.
Conclusions:
- The evaluated pediatric cataract extraction techniques, including lensectomy-vitrectomy and various ECCE approaches, did not result in angiographically evident CME.