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Pseudophakic cystoid macular edema
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🔷Pseudophakic cystoid macular edema🔷 • 🔶OCT Clinical Case Series🔶 • 🟢 Cystoid macular edema (CME) is a primary cause of reduced vision following both cataract and successful vitreoretinal surgery. The incidence of clinical CME following modern cataract surgery is 0.1-2.35%. • 🟢 Preexisting conditions such as diabetes mellitus and uveitis as well as intraoperative complications can raise the risk of postsurgical CME. • 🟢 The etiology of CME is not completely understood. Prolapsed or incarcerated vitreous and postoperative inflammatory processes have been proposed as causative agents. • 🟢 Pseudophakic CME is characterized by poor postoperative visual acuity. Fluorescein angiography shows the classical perifoveal petaloid staining pattern and late leakage of the optic disk. • 🟢 Optical coherence tomography is a useful diagnostic tool, which displays cystic spaces in the outer nuclear layer. • 🟢 The most important differential diagnoses include age-related macular degeneration and other causes of CME such as diabetic macular edema. • 🟢 Most cases of pseudophakic CME resolve spontaneously. The value of prophylactic treatment is doubtful. First-line treatment of postsurgical CME should include topical nonsteroidal anti-inflammatory drugs and corticosteroids. Oral carbonic anhydrase inhibitors can be considered complementary. In cases of resistant CME, periocular or intraocular corticosteroids present an option. Antiangiogenic agents, though experimental, should be considered for nonresponsive persistent CME. Surgical options should be reserved for special indications. • 👤 J.R. Fontenla, MD-PhD. • 🏨 Hospital Clinic of Barcelona • 👁 / @visualsystem • 🏛 University of Barcelona • I hope you find this video helpful. If you do, please like and subscribe for more videos like this one! • Subscribe for more free medical lessons / @visualsystem • **MEDICAL LEGAL DISCLAIMER**: Visus Formación en Oftalmología does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for educational purposes ONLY, and information presented here is not to be used as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal. Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition. • IMAGE DISCLAIMER: The content (ex. images) used in this lesson are used in accordance with Fair Use laws and are intended for educational/teaching purposes only • 🟡 Shorts Playlist 👉 • All Shorts / Todos los Shorts. • 🟢 Check out some of our other lessons: • Channel Home Page • 👉 / @visualsystem • English Content Playlist • 👉 • English Content. Videos. • Retina Playlist • 👉 • Retina • Vitreous Playlist • 👉 • Vítreo • Neuro-Ophthalmology Playlist • 👉 • Neuroftalmología • Glaucoma Playlist • 👉 • Glaucoma • Cornea Playlist • 👉 • Cornea/Córnea • Conjunctiva Playlist • 👉 • Conjuntiva • Uvea Playlist • 👉 • Uvea/Úvea • Lens Playlist • 👉 • Lens/Cristalino • Sclera Playlist • 👉 • Sclera/Esclera • Eyelids Playlist • 👉 • Párpados • Orbit Playlist • 👉 • Órbita • Lacrimal System Playlist • 👉 • Vía lagrimal • 🏛 Become a Channel Member and access! 👉 / @visualsystem • 🟢 Being a Channel Member makes you our Partner. A Partner that contributes to the maintenance of the channel and the creation of new educational/teaching content. • 🟢 Being a Member 😎 also gives you exclusive access to: • 👉 Videos with additional content. • 👉 Multiple Answer Question Bank. • 👉 Diagnostic Photo Bank and Photos of clinical cases. • 🤩 If you want to become our Partner and contribute to the Content Creation and Maintenance of the Channel, become a member. • Thank you!! 😀👍. • 📚Text-Reference: • 📖 Postsurgical Cystoid Macular Edema. • 👤 Zur D, Loewenstein A. • 👉 Dev Ophthalmol. 2017;58:178-190.
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