Cystoid macular edema after pediatric intraocular lens implantation: fluorescein angioscopy results and literature review

J Cataract Refract Surg. 2001 Mar;27(3):432-6. doi: 10.1016/s0886-3350(00)00578-2.

Abstract

Purpose: To evaluate the occurrence of cystoid macular edema (CME) after lens extraction, anterior vitrectomy, and intraocular lens implantation (IOL) in children using angioscopy after administration of oral fluorescein.

Setting: Centers in Tamil Nadu, India, and Hong Kong, China.

Methods: This study comprised 18 children (28 eyes) who had cataract extraction, posterior capsulorhexis, anterior vitrectomy, and in-the-bag IOL implantation. The presence of CME was evaluated 1 week and 4 to 6 weeks after surgery using fluorescein angioscopy.

Results: Anterior chamber fibrin occurred in 4 eyes (14.3%). Fluorescein angioscopy was performed 1 week after surgery in all eyes and after 1 month in 25 eyes (89.3%). No eye demonstrated the presence of CME on fluorescein angioscopy.

Conclusions: Cystoid macular edema did not occur in the early period after pediatric cataract surgery using current surgical techniques. Longer follow-up is required to ascertain the incidence of CME in the late postoperative period.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Capsulorhexis
  • Child
  • Child, Preschool
  • Female
  • Fluorescein
  • Fluorescein Angiography*
  • Humans
  • Lens Implantation, Intraocular / adverse effects*
  • Macular Edema / diagnosis
  • Macular Edema / etiology*
  • Male
  • Phacoemulsification
  • Prospective Studies
  • Vitrectomy

Substances

  • Fluorescein