We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Cystoid Macular Edema After Laser Retinopexy of a Retinal Break.
- Authors
A., Basilio; B., Carvalho; S., Crisostomo; J., Cardigos; N., Coelho; R., Flores
- Abstract
Introduction/Background: Acute symptomatic flap retinal tears are at greater risk of progressing to retinal detachment and these cases are generally treated prophylactically. In most cases laser retinopexy is the optimal technique as it is more precise, causing less collateral retinal damage, with a likely lower risk of epiretinal membrane formation than cryotherapy. Cystoid macular edema is rare after this treatment. Methods: The authors report the case of a 60 year-old woman, previously healthy, who was submitted to laser retinopexy of an acute symptomatic flap retinal tear of the left eye. Three weeks later, she complained of ipsilateral vision blurring. A complete ophthalmological evaluation and optical coherence tomography (OCT) were performed. Results: The best corrected visual acuity (BCVA) in the right eye was 20/20 and in the left eye was 20/50. Anterior segment observation was normal. Fundus examination revealed, in left eye, macular edema and adequate thermal barrier of the retinal break. No traction was found. Cystoid macular edema was confirmed by OCT. Topical treatment with nepafenac 1 mg/ml tid was prescribed. One month later BCVA in left eye was 20/200 and macular edema persisted. A different approach with combined intravitreal ranibizumab and subconjunctival triamcinolone acetonide injection was implemented. Two months after the injections, BCVA was 20/20 with resolution of the macular edema. Six months later, patient remained asymptomatic. Conclusions: Cystoid macular edema after laser retinopexy of a retinal break is rare, but can be adequately managed with a combined treatment of intravitreal ranibizumab and subconjunctival triamcinolone acetonide injection. This approach seems to be secure and effective in this condition.
- Subjects
RETINAL detachment; COLD therapy; OPTICAL coherence tomography; VISUAL acuity; ANTERIOR eye segment; THERAPEUTICS
- Publication
Ophthalmic Research, 2017, Vol 58, p15
- ISSN
0030-3747
- Publication type
Case Study