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Aphakic cystoid macular edema in children
Insights
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.
Abstract:
Twenty-five eyes of 18 pediatric patients (aged 7 1/2 months to 14 years 8 months) who had had cataract extractions were examined for evidence of cystoid macular edema (CME) with fluorescein angiography. No patient showed CME when studied from five weeks to four years after surgery. One patient with Peter's anomaly, glaucoma, and chronic iridocyclitis had intense fluorescence of the aqueous and vitreous that precluded evaluation of the macula. Even if this patient is assumed to have had CME, its incidence in our population of aphakic pediatric patients was no more than 4%.