September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Cystoid Macular Edema after DMEK and Recent Versus Remote Cataract Surgery
Author Affiliations & Notes
  • William Flanary
    Department of Ophthalmology and visual sciences, University of Iowa, Iowa City, Iowa, United States
  • Jesse Vislisel
    Department of Ophthalmology and visual sciences, University of Iowa, Iowa City, Iowa, United States
  • Michael D Wagoner
    Department of Ophthalmology and visual sciences, University of Iowa, Iowa City, Iowa, United States
  • Matthew Raecker
    Department of Ophthalmology and visual sciences, University of Iowa, Iowa City, Iowa, United States
  • Benjamin Thomas Aldrich
    Department of Ophthalmology and visual sciences, University of Iowa, Iowa City, Iowa, United States
  • M. Bridget zimmerman
    Department of Ophthalmology and visual sciences, University of Iowa, Iowa City, Iowa, United States
  • Kenneth M Goins
    Department of Ophthalmology and visual sciences, University of Iowa, Iowa City, Iowa, United States
  • Mark A Greiner
    Department of Ophthalmology and visual sciences, University of Iowa, Iowa City, Iowa, United States
  • Footnotes
    Commercial Relationships   William Flanary, None; Jesse Vislisel, None; Michael Wagoner, None; Matthew Raecker, None; Benjamin Aldrich, None; M. Bridget zimmerman, None; Kenneth Goins, None; Mark Greiner, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 1193. doi:
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      William Flanary, Jesse Vislisel, Michael D Wagoner, Matthew Raecker, Benjamin Thomas Aldrich, M. Bridget zimmerman, Kenneth M Goins, Mark A Greiner; Cystoid Macular Edema after DMEK and Recent Versus Remote Cataract Surgery. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1193.

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

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Abstract

Purpose : The purpose of this study was to compare the incidence of visually significant cystoid macular edema (VS-CME) in pseudophakic eyes following Descemet membrane endothelial keratoplasty (DMEK) performed after recent versus remote cataract surgery.

Methods : A retrospective chart review was performed of 173 consecutive eyes that underwent DMEK without concurrent cataract surgery at the University of Iowa between October 2012 and December 2014. DMEK procedures were classified as staged if performed <6 months after cataract surgery and solitary if performed ≥6 months after cataract surgery. Possible confounders, including a history of diabetes in the recipient, were tracked. Macular optical coherence tomography was performed to detect VS-CME 1 month after DMEK if the best-corrected visual acuity was ≤20/30 in a clear cornea with no other reason for visual compromise.

Results : Staged DMEK was performed in 88 eyes (50.9%) and solitary DMEK in 85 eyes (49.1%). The incidence of VS-CME was 8.0% (7 of 88 eyes) in the staged DMEK group and 7.0% (6 of 85 eyes) in the solitary DMEK group (P=0.823) The incidence of VS-CME did not differ significantly between staged and solitary DMEK groups regardless of recipient diabetic status. All cases of VS-CME resolved within 6 months on topical therapy.

Conclusions : The incidence of postoperative VS-CME after DMEK is similar for recently or remotely performed cataract surgery.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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