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Aphakic cystoid macular edema in children
Archives of Ophthalmology (Chicago, Ill. : 1960)
|February 1, 1981
Summary
Pediatric cataract surgery patients rarely develop cystoid macular edema (CME). Fluorescein angiography found no CME in 25 eyes, suggesting a low incidence post-cataract extraction in children.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Retinal Diseases
Background:
- Cystoid macular edema (CME) is a potential complication after cataract surgery.
- The incidence of CME in pediatric patients following cataract extraction is not well-established.
Purpose of the Study:
- To investigate the incidence of cystoid macular edema (CME) in pediatric patients after cataract extraction.
- To assess the long-term outcomes of pediatric eyes undergoing cataract surgery.
Main Methods:
- Retrospective review of 25 eyes from 18 pediatric patients who underwent cataract extraction.
- Fluorescein angiography was performed to detect evidence of CME.
- Patients were studied between five weeks and four years post-surgery.
Main Results:
- No cases of cystoid macular edema (CME) were detected in any of the 25 eyes examined.
- One patient with complex ocular conditions (Peter's anomaly, glaucoma, iridocyclitis) had imaging limitations, precluding macular evaluation.
- The maximum estimated incidence of CME in this pediatric aphakic population was 4%.
Conclusions:
- Cystoid macular edema (CME) appears to have a very low incidence in pediatric patients following cataract extraction.
- Further research may be warranted to confirm these findings in larger pediatric cohorts.
- OcularComorbidity may influence diagnostic capabilities in post-operative pediatric eyes.