Transient Corneal Edema is a Predictive Factor for Pseudophakic Cystoid Macular Edema after Uncomplicated Cataract Surgery

• Published in: Korean journal of ophthalmology Vol. 29; no. 1; pp. 14 - 22
• Main Authors: Do, Jae Rock, Oh, Jong-Hyun, Chuck, Roy S., Park, Choul Yong
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Ophthalmological Society 01.02.2015; 대한안과학회
• 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; Corneal edema; Cataract; Macular edema; Phacoemulsification; Risk factors
• ISSN: 1011-8942; 2092-9382; 2092-9382
• DOI: 10.3341/kjo.2015.29.1.14

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.