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Transient corneal edema is a predictive factor for pseudophakic cystoid macular edema after uncomplicated cataract surgery

Korean Journal of Ophthalmology, 2015, 29(1), , pp.14-22 [Peer Reviewed Journal]

2015 The Korean Ophthalmological Society 2015 ;ISSN: 1011-8942 ;EISSN: 2092-9382 ;DOI: 10.3341/kjo.2015.29.1.14 ;PMID: 25646056

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  • Title:
    Transient corneal edema is a predictive factor for pseudophakic cystoid macular edema after uncomplicated cataract surgery
  • Author: Do, Jae Rock ; Oh, Jong-Hyun ; Chuck, Roy S ; Park, Choul Yong
  • Subjects: Adult ; Aged ; Aged, 80 and over ; Cornea - pathology ; Corneal Edema - diagnosis ; Corneal Edema - etiology ; Female ; Fluorescein Angiography ; Follow-Up Studies ; Fundus Oculi ; Glucosinolates ; Humans ; Macular Edema - diagnosis ; Macular Edema - etiology ; Male ; Middle Aged ; Original ; Phacoemulsification ; Pseudophakia - complications ; Pseudophakia - diagnosis ; Retrospective Studies ; Tomography, Optical Coherence ; 안과학
  • Is Part Of: Korean Journal of Ophthalmology, 2015, 29(1), , pp.14-22
  • Description: To report transient corneal edema after phacoemulsification as a predictive factor for the development of pseudophakic cystoid macular edema (PCME). A total of 150 eyes from 150 patients (59 men and 91 women; mean age, 68.0 ± 10.15 years) were analyzed using spectral domain optical coherence tomography 1 week and 5 weeks after routine phacoemulsification cataract surgery. Transient corneal edema detected 1 week after surgery was analyzed to reveal any significant relationship with the development of PCME 5 weeks after surgery. Transient corneal edema developed in 17 (11.3%) of 150 eyes 1 week after surgery. A history of diabetes mellitus was significantly associated with development of transient corneal edema (odds ratio [OR], 4.04; 95% confidence interval [CI], 1.41 to 11.54; p = 0.011). Both diabetes mellitus and transient corneal edema were significantly associated with PCME development 5 weeks after surgery (OR, 4.58; 95% CI, 1.56 to 13.43; p = 0.007; and OR, 6.71; CI, 2.05 to 21.95; p = 0.003, respectively). In the 8 eyes with both diabetes mellitus and transient corneal edema, 4 (50%) developed PCME 5 weeks after surgery. Transient corneal edema detected 1 week after routine cataract surgery is a predictive factor for development of PCME. Close postoperative observation and intervention is recommended in patients with transient corneal edema.
  • Publisher: Korea (South): The Korean Ophthalmological Society
  • Language: English
  • Identifier: ISSN: 1011-8942
    EISSN: 2092-9382
    DOI: 10.3341/kjo.2015.29.1.14
    PMID: 25646056
  • Source: KoreaMed (Open access)
    KoreaMed Synapse(OpenAccess)
    MEDLINE
    PubMed Central
    DOAJ Directory of Open Access Journals
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