Girjesh Kain
India
Title: POST PHACOEMULSIFICATION CYSTOID MACULAR EDEMA. ASSESMENT WITH OPTICAL COHERENCE TOMOGRAPHY
Biography
Biography: Girjesh Kain
Abstract
Purpose: To determine the incidence of cystoid macular edema (CME) by means of clinical evaluation and sub clinical assessment using of ocular coherence tomography (OCT),
Methods: Phacoemulsification plus intraocular acrylic lens implantation was done in normal patients, work excluding patients having Uveitis glaucoma, Choroiditis, diabetes and macular diseased patients. Group A: 20 eyes of normal patients; Group B: 40 eyes of patients with post Phacoemulsification. Postoperative follow-up visits were performed 1 days (basal visit), 7 days, 6 weeks and 12 weeks after surgery. Each visit included OCT, a part from detail clinical workup.
Results: Central macular thickness measured by OCT was significantly increased in group B compared with group A (241.6 versus 204.6 μm; p<0,001). Clinical evidence of CME was found in 3 eyes with decreased visual acuities (14.2%) of group B, although 2 eyes (1.92%) showed macular thickness equal to or greater than 43.74 μm (2 standard deviations of the basal value for group A). The differences between these groups were statistically significant (p<0.001).
Conclusions: This study has shown a low incidence of clinical CME. OCT showed increased macular thickness in group B of patients in a small percentage of cases.