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Cataract and IOLs

Postoperative Cystoid Macular Edema: Diagnosis, Prevention, and Treatment

Robert I. Park, MD · Jeffrey S. Heier, MD

Click on each slide to view a larger image.

Slide 1 Slide 1. Typical appearance of cystoid macular edema with cystoid changes in the macula.
Slide 2 Slide 2. Fundus photograph of a 61-year-old woman with a history of uncomplicated phacoemulsification with pciol placement (postoperative month 3). Note the macular cystoid changes and absent foveal reflex.
Slide 3A Slide 3A. (Slides 3A - 3E) Rapid sequence fluorescein angiogram of the patient seen in Slide 2. Note the gradually increasing petalloid macular hyperfluorescence. The final frame, taken at 7:46, shows late macular pooling and staining with staining of the optic nerve.
Slide 3B Slide 3B. (Slides 3A - 3E) Rapid sequence fluorescein angiogram of the patient seen in Slide 2. Note the gradually increasing petalloid macular hyperfluorescence. The final frame, taken at 7:46, shows late macular pooling and staining with staining of the optic nerve.
Slide 3C Slide 3C. (Slides 3A - 3E) Rapid sequence fluorescein angiogram of the patient seen in Slide 2. Note the gradually increasing petalloid macular hyperfluorescence. The final frame, taken at 7:46, shows late macular pooling and staining with staining of the optic nerve.
Slide 3D Slide 3D. (Slides 3A - 3E) Rapid sequence fluorescein angiogram of the patient seen in Slide 2. Note the gradually increasing petalloid macular hyperfluorescence. The final frame, taken at 7:46, shows late macular pooling and staining with staining of the optic nerve.
Slide 3E Slide 3E. (Slides 3A - 3E) Rapid sequence fluorescein angiogram of the patient seen in Slide 2. Note the gradually increasing petalloid macular hyperfluorescence. The final frame, taken at 7:46, shows late macular pooling and staining with staining of the optic nerve.
Slide 4 Slide 4. Late frame fluorescein angiogram of a patient with cystoid macular edema demonstrating staining and pooling of dye within the macula and hyperfluorescence of the optic nerve.
Slide 5A Slide 5A. Fluorescein angiograms before (Slide 5A) and after (Slide 5B) treatment with prednisolone acetate 1% and ketorolac.
Slide 5B Slide 5B. Fluorescein angiograms before (Slide 5A) and after (Slide 5B) treatment with prednisolone acetate 1% and ketorolac.

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