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

Jae Rock Do, Jong Hyun Oh, Roy S. Chuck, Choul Yong Park

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Abstract

PURPOSE: To report transient corneal edema after phacoemulsification as a predictive factor for the development of pseudophakic cystoid macular edema (PCME).

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.

Original languageEnglish (US)
Pages (from-to)14-22
Number of pages9
JournalKorean journal of ophthalmology : KJO
Volume29
Issue number1
DOIs
StatePublished - Feb 1 2015
Externally publishedYes

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Keywords

  • Cataract
  • Corneal edema
  • Macular edema
  • Phacoemulsification
  • Risk factors

ASJC Scopus subject areas

  • Medicine(all)

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