May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
The Use of Retinal Tomography in the Diagnosis and Treatment of Post-Cataract Extraction Cystoid Macula Edema
Author Affiliations & Notes
  • J.S. Wallshein
    Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY, United States
  • E.F. Smith
    Ophthalmology, Brooklyn Campus, Department of Veteran Affairs, Brooklyn, NY, United States
  • M. Edelstein
    Ophthalmology, Brooklyn Campus, Department of Veteran Affairs, Brooklyn, NY, United States
  • G. Gombos
    Ophthalmology, Brooklyn Campus, Department of Veteran Affairs, Brooklyn, NY, United States
  • A. Schrier
    Ophthalmology, Columbia University, New York, NY, United States
  • M. Fingeret
    Ophthalmology, Columbia University, New York, NY, United States
  • E. Canellos
    Ophthalmology, Columbia University, New York, NY, United States
  • E. Canellos
    Ophthalmology, Columbia University, New York, NY, United States
  • K. Greenidge
    Ophthalmology, Columbia University, New York, NY, United States
  • Footnotes
    Commercial Relationships  J.S. Wallshein, None; E.F. Smith, None; M. Edelstein, None; G. Gombos, None; A. Schrier, None; M. Fingeret, None; E. Canellos, None; E. Canellos, None; K. Greenidge, None.
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 225. doi:
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      J.S. Wallshein, E.F. Smith, M. Edelstein, G. Gombos, A. Schrier, M. Fingeret, E. Canellos, E. Canellos, K. Greenidge; The Use of Retinal Tomography in the Diagnosis and Treatment of Post-Cataract Extraction Cystoid Macula Edema . Invest. Ophthalmol. Vis. Sci. 2003;44(13):225.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose: To determine if the Heidelberg Macula program can detect post cataract extraction cystoid macula edema and to determine if it is useful in following the course of the disease. Methods: Thirteen patients with 20/20 vision status post cataract extraction were scanned with the HRT macula program. Scans were performed post-op day 1 and then weekly to detect the development of cystoid macula edema (CME). Foveal thickness was measured and followed throughout the postoperative course. Any patient that had a decrease in visual acuity or a MHRT edema thickness of 2.0 or greater went on to have an Intravenous Fluorescein Angiogram (IVFA). Results: 10 patients maintained a visual acuity of 20/20 or better and had macular thickness of < 2.0 on all scans. 3 patients had a decrease in visual acuity. These patients were found to have a macula thickness greater than 2.0 on HRT and were documented to have CME by IVFA. Patients that had a decrease in visual acuity had a macular thickness of >2.0 and CME confirmed by IVFA. When treated patients’ vision improved, we noted a corresponding decrease in macula thickness on MHRT and decreased leakage on IVFA. In addition, when CME resolved after treatment the macula thickness also decreased to less than 2.0. Conclusions: Macular HRT is an excellent way to screen patients requiring an IVFA, and follow the progression and resolution of cystoid macular edema in post-cataract extraction patients. Our study indicates that when macula thickness is >2.0, macula edema is present and there may be a corresponding decrease in visual acuity.

Keywords: cataract • imaging/image analysis: clinical • retinal degenerations: cell biology 
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