Skip to main content

Advertisement

SpringerLink
Log in

Study of cystoid macular edema by optical coherent tomography following uneventful cataract surgery

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

The objective of this paper is to study the incidence of cystoid macular edema (CME) using optical coherence tomography (OCT) following uneventful small incision cataract surgery (SICS) and phacoemulsification. This was a descriptive, prospective study where 200 patients undergoing cataract surgery were randomly divided into two groups over a period of 1 year. Patients undergoing uneventful small incision cataract surgery were included in group I and patient undergoing uneventful phacoemulsification were included in group II, with 100 patients in each group. Preoperative assessment included best corrected visual acuity, detailed anterior segment and posterior segment evaluation, and intraocular pressure measurement. Macular thickness was measured using RTVue 100 three dimensional Fourier domain OCT, using Enhanced Macular Map 5 (EMM5) protocol. In group II, all the phaco parameters were also noted. Postoperative examination was done at day 1, 1 week, 1 month and 3 months for BCVA and macular thickness. Preoperative and postoperative measurements were analyzed statistically using ANOVA test, paired samples t test, and Pearson’s correlation coefficient was calculated for different variables like phaco time, phaco energy, and BCVA. Statistically significant increase in macular thickness was detected postoperatively at 1 week (p ≥ 0.05 for group I and p = 0.1 for group II) and 1 month (p = 0.001 for group I and p ≤ 0.05 for group II), in all patients. It returned to near normal values by 3 months post operatively. This increase was mostly sub clinical. Overall incidence of clinical CME was 1.5 %. Following SICS incidence of clinical CME was 2 % and after phacoemulsification was 1 %. BCVA was not affected in patients with subclinical CME but decreased vision was seen in patients with clinical CME. The incidence of subclinical and clinical CME was comparable in SICS and phacoemulsification, and subclinical CME did not have an impact on BCVA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Thulasiraj RD, Rahamathulla R, Saraswati A, Selvaraj S, Ellwein LB (2002) The Sivaganga eye survey: I blindness and cataract surgery. Ophthalmic Epidemiol 9(5):299–312

    Article  CAS  PubMed  Google Scholar 

  2. Nirmalan PK, Thulasiraj RD, Maneksha V, Rahmathullah R, Ramakrishnan R, Padmavathi A et al (2002) A population based eye survey of older adults in Tirunelveli district of south India: blindness, cataract surgery and visual outcomes. Br J Ophthalmol 86(5):505–512

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Murthy GV, Gupta S, Ellwein LB, Munoz SR, Bachani D, Dada VK (2001) A population-based eye survey of older adults in a rural district of Rajasthan: I. Central vision impairment, blindness and cataract surgery. Ophthalmology 108(4):679–685

    Article  CAS  PubMed  Google Scholar 

  4. Mohan M (1989) National survey of blindness-India Ministry of Health and Family Welfare, Government of India NPCB-WHO Report. New Delhi

  5. Resnikoff S, Pascolini D, Etyaale D, Kocur I, Pararajasegaram R, Pokharel GP et al (2004) Global data on visual impairment in the year 2002. Bull World Health Organ 82(11):844–851

    PubMed  PubMed Central  Google Scholar 

  6. Ruit S, Tabin G, Chang D, Bajracharya L, Kilne DC, Richheimer W (2007) A prospective randomized clinical trial of phacoemulsification vs manual sutureless small incision extracapsular cataract surgery in Nepal. Am J Ophthalmol 143(1):32–38

    Article  PubMed  Google Scholar 

  7. Lu Y, Shi X, Yu F, Guo H (2010) Clinical outcome in conversion from small incision sutureless to phacoemulsification cataract surgery. Yan Ke Xue Bao 25(1):31–33

    CAS  PubMed  Google Scholar 

  8. Akçay Bİ, Bozkurt TK, Güney E, Unlü C, Erdogan G, Akcali G et al (2012) Quantitative analysis of macular thickness following uneventful and complicated cataract surgery. Clin Ophthalmol 6:1507–1511

    Article  PubMed  PubMed Central  Google Scholar 

  9. Von Jagow B, Ohrloff C, Kohnen T (2007) Macular thickness after uneventful cataract surgery determined by optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 245(12):1765–1771

    Article  Google Scholar 

  10. Haripriya A, Chang DF, Reena M, Shekhar M (2012) Complication rates of phacoemulsification and manual small-incision cataract surgery at Aravind Eye Hospital. J Cataract Refract Surg 38(8):1360–1369

    Article  PubMed  Google Scholar 

  11. Ferrari TM, Cavallo M, Durante G, Mininno L, Cardascia N (1999) Macular edema induced by phacoemulsification. Doc Ophthalmol 97(3–4):325–327

    Article  CAS  PubMed  Google Scholar 

  12. Drolsum L, Haaskjold E (1995) Causes of decreased visual acuity after cataract extraction. J Cataract Refract Surg 21(1):59–63

    Article  CAS  PubMed  Google Scholar 

  13. Mentes J, Erakgun T, Afrashi F, Kerci G (2003) Incidence of cystoids macular edema after uncomplicated phacoemulsification. Ophthalmologica 217(6):408–412

    Article  PubMed  Google Scholar 

  14. Ghosh S, Roy I, Biswas PN, Maji D, Mondal LK, Mukhopadhyay S et al (2010) Prospective randomized comparative study of macular thickness following phacoemulsification and manual small incision cataract surgery. Acta Ophthalmol 88:102–106

    Article  Google Scholar 

  15. Norregaard JC, Bernth-Petersen P, Bellan L, Alonso J, Black C, Dunn E et al (1999) Intraoperative clinical practice and risk of early complications after cataract extraction in the United States, Canada, Denmark, and Spain. Ophthalmology 106(1):42–48

    Article  CAS  PubMed  Google Scholar 

  16. Biro Z, Balla Z, Kovacs B (2008) Change of foveal and perifoveal thickness measured by OCT after phacoemulsification and IOL implantation. Eye 22(1):8–12

    Article  CAS  PubMed  Google Scholar 

  17. Georgopoulos GT, Papaconstantinou D, Niskopoulou M, Moschos M, Georgalas I, Koutsandrea C (2008) Foveal thickness after phacoemulsification as measured by optical coherence tomography. Clin Ophthalmol 2(4):817–820

    PubMed  PubMed Central  Google Scholar 

  18. Nagy ZZ, Ecsedy M, Kovács I, Takács Á, Tátrai E, Somfai GM et al (2012) Macular morphology assessed by optical coherence tomography image segmentation after femtosecond laser-assisted and standard cataract surgery. J Cataract Refract Surg 38(6):941–946

    Article  PubMed  Google Scholar 

  19. Perente I, Utine CA, Ozturker C, Cakir M, Kaya V, Eren H et al (2007) Evaluation of macular changes after uncomplicated phacoemulsification surgery by optical coherence tomography. Curr Eye Res 32(3):241–247

    Article  PubMed  Google Scholar 

  20. Khanna RC, Kaza S, Shantha GPS, Sangwan VS (2012) Comparative outcomes of manual small incision cataract surgery and phacoemulsification performed by ophthalmology trainees in a tertiary eye care hospital in India: a retrospective cohort design. BMJ Open 2:e001035

    Article  PubMed  PubMed Central  Google Scholar 

  21. Subramaniam ML, Devaiah AK, Warren KA (2009) Incidence of postoperative cystoid macular edema by a single surgeon. Digit J Ophthalmol 15(4)

  22. Packer M, Lowe J, Fine H (2012) Incidence of acute postoperative cystoid macular edema in clinical practice. J Cataract Refract Surgery 38(12):2108–2111

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India

    Charu Chaudhary, Harsh Bahadhur & Neeti Gupta

Authors
  1. Charu Chaudhary
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Harsh Bahadhur
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Neeti Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Neeti Gupta.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chaudhary, C., Bahadhur, H. & Gupta, N. Study of cystoid macular edema by optical coherent tomography following uneventful cataract surgery. Int Ophthalmol 35, 685–691 (2015). https://doi.org/10.1007/s10792-014-9998-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-014-9998-5

Keywords

Search

Navigation