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Cystoid Macular Edema and Papilledema Following Cataract Extraction: A Fluorescein Fundoscopic and Angiographic Study

Cystoid Macular Edema and Papilledema Following Cataract Extraction: A Fluorescein Fundoscopic... Abstract Cystoid macular edema with or without papilledema should be suspected in any post-operative cataract patient whose visual acuity either fails to improve to normal or suddenly decreases following cataract extraction. The slit lamp appearance of the macular lesion is characteristic, but may be difficult to see in the postoperative eye. The pattern of fluorescence following intravenous injection of fluorescein is diagnostic and provides the clinician with a valuable means of detecting the lesion, which may be difficult to see by other means. Fluorescein studies suggest that the pathogenesis of the macular and optic nerve lesions involves leakage of serous exudate from the retinal and optic nerve head capillaries. The cause of this leakage is unknown. References 1. Irvine, S.R.: A Newly Defined Vitreous Syndrome Following Cataract Surgery , Amer J Ophthal 36:599-619, 1953. 2. Hughes, W.F., Jr., and Owens, W.C.: Extraction of Senile Cataract: A Statistical Comparison of Various Techniques and the Importance of Pre-operative Survey , Amer J Ophthal 28:40, 1945. 3. Kirsch, R.E., and Steinman, W.: Spontaneous Rupture of the Anterior Hyaloid Membrane Following Intracapsular Cataract Surgery , Amer J Ophthal 37:657, 1954. 4. Chandler, P.: Complications After Cataract Extraction: Clinical Aspects , Trans Amer Acad Ophthal Otolaryng 58:382-396, 1954. 5. Nicholls, J.V.V.: Macular Edema in Association With Cataract Extraction , Amer J Ophthal 37:665-672, 1954. 6. Nicholls, J.V.V.: Concurrence of Macular Edema With Cataract Extraction , Arch Ophthal 55:595-604, 1956.Crossref 7. Welch, R.B., and Cooper, J.C.: Macular Edema, Papilledema, and Optic Atrophy After Cataract Extraction , Arch Ophthal 59:665-675, 1958.Crossref 8. Gartner, S.: Optic Neuritis and Macular Edema Following Cataract Extraction , Eye Ear Nose Throat Monthly 43:45, 1964. 9. Tolentino, F.I., and Schepens, C.L.: Edema of Posterior Pole After Cataract Extraction , Arch Ophthal 74:781-786, 1965.Crossref 10. Reese, A.B., and Carroll, F.D.: Optic Neuritis Following Cataract Extraction , Trans Amer Acad Ophthal 62:765-768, 1958. 11. Gass, J.D.M., and Norton, E.W.D.: Serous Detachment of the Retinal Pigment Epithelium, read before the American Academy of Ophthalmology and Otolaryngology, Chicago, Nov 14-19, 1965. 12. Gass, J.D.M., and Norton, E.W.D.: Fluorescein Studies of Patients With Macular Edema and Papilledema Following Cataract Extraction, read before the American Ophthalmological Society, White Sulphur Springs, W Va, May 31, 1966. 13. Novotny, H.R., and Alvis, D.L.: A Method of Photographing Fluorescence in Circulating Blood in the Human Retina , Circulation 24:82, 1961.Crossref 14. Sever, R.J., and Justice, J., Jr.: " Techniques of Fluorescein Fundus Photography ," in Neuro-Ophthalmology Symposium of the University of Miami and the Bascom Palmer Eye Institute , J. L. Smith (ed.), St. Louis: C. V. Mosby Co., 1965, pp 82-83. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Cystoid Macular Edema and Papilledema Following Cataract Extraction: A Fluorescein Fundoscopic and Angiographic Study

Archives of Ophthalmology , Volume 76 (5) – Nov 1, 1966

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1966.03850010648005
Publisher site
See Article on Publisher Site

Abstract

Abstract Cystoid macular edema with or without papilledema should be suspected in any post-operative cataract patient whose visual acuity either fails to improve to normal or suddenly decreases following cataract extraction. The slit lamp appearance of the macular lesion is characteristic, but may be difficult to see in the postoperative eye. The pattern of fluorescence following intravenous injection of fluorescein is diagnostic and provides the clinician with a valuable means of detecting the lesion, which may be difficult to see by other means. Fluorescein studies suggest that the pathogenesis of the macular and optic nerve lesions involves leakage of serous exudate from the retinal and optic nerve head capillaries. The cause of this leakage is unknown. References 1. Irvine, S.R.: A Newly Defined Vitreous Syndrome Following Cataract Surgery , Amer J Ophthal 36:599-619, 1953. 2. Hughes, W.F., Jr., and Owens, W.C.: Extraction of Senile Cataract: A Statistical Comparison of Various Techniques and the Importance of Pre-operative Survey , Amer J Ophthal 28:40, 1945. 3. Kirsch, R.E., and Steinman, W.: Spontaneous Rupture of the Anterior Hyaloid Membrane Following Intracapsular Cataract Surgery , Amer J Ophthal 37:657, 1954. 4. Chandler, P.: Complications After Cataract Extraction: Clinical Aspects , Trans Amer Acad Ophthal Otolaryng 58:382-396, 1954. 5. Nicholls, J.V.V.: Macular Edema in Association With Cataract Extraction , Amer J Ophthal 37:665-672, 1954. 6. Nicholls, J.V.V.: Concurrence of Macular Edema With Cataract Extraction , Arch Ophthal 55:595-604, 1956.Crossref 7. Welch, R.B., and Cooper, J.C.: Macular Edema, Papilledema, and Optic Atrophy After Cataract Extraction , Arch Ophthal 59:665-675, 1958.Crossref 8. Gartner, S.: Optic Neuritis and Macular Edema Following Cataract Extraction , Eye Ear Nose Throat Monthly 43:45, 1964. 9. Tolentino, F.I., and Schepens, C.L.: Edema of Posterior Pole After Cataract Extraction , Arch Ophthal 74:781-786, 1965.Crossref 10. Reese, A.B., and Carroll, F.D.: Optic Neuritis Following Cataract Extraction , Trans Amer Acad Ophthal 62:765-768, 1958. 11. Gass, J.D.M., and Norton, E.W.D.: Serous Detachment of the Retinal Pigment Epithelium, read before the American Academy of Ophthalmology and Otolaryngology, Chicago, Nov 14-19, 1965. 12. Gass, J.D.M., and Norton, E.W.D.: Fluorescein Studies of Patients With Macular Edema and Papilledema Following Cataract Extraction, read before the American Ophthalmological Society, White Sulphur Springs, W Va, May 31, 1966. 13. Novotny, H.R., and Alvis, D.L.: A Method of Photographing Fluorescence in Circulating Blood in the Human Retina , Circulation 24:82, 1961.Crossref 14. Sever, R.J., and Justice, J., Jr.: " Techniques of Fluorescein Fundus Photography ," in Neuro-Ophthalmology Symposium of the University of Miami and the Bascom Palmer Eye Institute , J. L. Smith (ed.), St. Louis: C. V. Mosby Co., 1965, pp 82-83.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1966

References