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Supinda Leeamornsiri, Paul A. Gaudio, John J. Huang; Incidence Of Cystoid Macular Edema After Phacoemulsification With Pars Plana Vitrectomy In Patients With Uveitis. Invest. Ophthalmol. Vis. Sci. 2012;53(14):1252.
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To determine the incidence of cystoid macular edema (CME) after combined phacoemulsification and pars plana vitrectomy in patients with uveitis.
The medical records were reviewed of patients with noninfectious uveitis who underwent combined phacoemulsification/pars plana vitrectomy between August, 2007 - July, 2011. Patients with diabetes or documented macular edema at the time of surgery were excluded. Cases were classified according to the presence of postoperative CME within 3 months after surgery.
88 surgeries were enrolled. The incidence of postoperative CME was 13.6%. 12 eyes developed CME. Among patients who developed CME, 9 eyes (75%) had anterior uveitis, and 3 eyes (25%) had panuveitis. In non-CME group, 24 eyes (31.6%) had anterior uveitis, 7 eyes (9.2%) had intermediate uveitis, 5 eyes (6.6%) had posterior uveitis, 40 eyes (52.6%) had panuveitis. In the CME group, 4 eyes (33.3%) had history of previous CME, compared with 17 eyes (22.4%) in the non-CME group. In the CME group, 3 eyes (25%) had documented active inflammation within the 6-month period before surgery, compared with 24 eyes (31.6%) in the non-CME group. In the CME group, 9 eyes (75%) were treated with preoperative corticosteroids prior to surgery, compared with 68 eyes (89.5%) in the non-CME group. Four (33.3%) of the eyes that developed CME underwent procedure without intraocular lens implantation, while among patients who did not develop CME this figure was 10 (13.2%) eyes. By 3 months, 66.7% of patients in the CME group achieved visual acuity of 20/40 or better, while in the non-CME group this figure was 82.9%.
In this study of patients with uveitis, the overall incidence of CME after combined phacomulsification/pars plana vitrectomy was 13.6%.
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