Eyes with diabetic retinopathy or diabetic macular edema should be evaluated and treated as appropriate often, an anti-VEGF injection will be required 1 to 2 weeks before surgery. 12 In order to reduce the risk of postoperative CME, all preexisting retinal conditions should be controlled before cataract surgery. Risk factors for CME include vitreous loss retained lens fragments anterior vitrectomy iris trauma posterior capsular rupture IOL dislocation implantation of an anterior chamber or iris-fixated IOL presence of epiretinal membrane and a history of diabetic macular edema, 11 uveitis, retinal vein occlusion, or retinal detachment repair. 1,4-9 Postoperatively, inflammatory mediators are upregulated in both the aqueous and the vitreous, leading to a breakdown of the blood-retinal barrier and an increase in vascular permeability. 2,3 The reported incidence of CME varies from 0.1% to 11% of eyes after uneventful cataract surgery. 1 Historically referred to as Irvine-Gass syndrome, pseudophakic CME was described by Irvine in 1953, and the fluorescein findings were later detailed by Gass. PSEUDOPHAKIC CYSTOID MACULAR EDEMAĬystoid macular edema (CME) is the most common cause of vision loss after cataract surgery. The best outcomes are achieved when the cataract surgeon can assess the patient’s pre- and intraoperative risk factors for retinal complications and when prompt diagnosis and management with a retina specialist are initiated. Most of these conditions may be successfully comanaged by the cataract surgeon in conjunction with a retina surgeon. The evolution of cataract surgical techniques has increased the procedure’s efficiency and improved outcomes, but intra- and postoperative complications can affect the vitreous and retina. Understanding the safety & efficacy of DURYSTA (bimatoprost intracameral implant) Topography-Guided Corneal Ablations with WAVELIGHT Platform: A Summary of Visual Outcomesīreak Free From Tradition with the AcrySof IQ PanOptix Trifocal IOLĭemodex Blepharitis: Simple Diagnosis, Challenging Treatmentīreak Free From Tradition with the AcrySof IQ PanOptix Trifocal IOL – Quentin Allen, MD Lens-Based Refractive Surgery: Providing Benefits to Patients and Driving Top Line Revenue in a Private Equity Group Streamlining Patient Care With the Pentacam AXL Pearls from the Deep: Effects of Thermal Pulsation on Presurgical Planning Say Anything: CRST Readers Share Their Most Memorable Cases of 2020 Retinal Complications: Refer or Comanage? Managing Patients With a History of Retinal SurgeryĪnterior Vitrectomy: Concepts From a Retina Specialist Prophylaxis Against Retinal Problems: Tips From a Vitreoretinal Surgeon When to Refer Patients to a Glaucoma Specialist Setting Expectations In Patients With Advanced GlaucomaĬomanaging Patients With Glaucoma: Strategies for Success What I’ve Learned From Visiting Another Surgeon
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