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Cystoid Macular Edema (CME) (Etiology (As Complication of Ocular Treatment…
Cystoid Macular Edema (CME)
Collection of fluid in Outer plexiform & inner Nuclear layer of Retina around Foveola
Etiology
As Complication of Ocular Treatment
Cataract Extraction
Keratoplasty (Surgical Therapy )
Panretinal Photo Coagulation (PRP) ( Laser.therapy )
Topical Ocular therapy with Epinephrine, Prostaglandins analogues
Retinal Vascular Disorders
Diabetic Retinopathy
CRVO
Retinal Telangiectasia ( Coats Disease )
Intraocular Inflammation
Anterior & Posterior Uveitis
Retinal Dystrophy
Retinitis Pigmentosa
Vitreo Macular Traction
Systemic disease
Leukaemia
Multiple Myeloma
CNV ( Choroidal Neovasculrization)
Pathology
Due to leakage of fluid following Breakdown of INNER BLOOD - RETINAL BARRIER
Clinical Features
Moderate Visual loss
Ophthalmoscopy
Honey Comb Appeareance of Macula
Loss of Foveal Contour
Yellow spot at center of Fovea
Fundus Flourescein Angiography
Flower Petal Appeareance
Optical Coherence Tomography (OCT)
Loss of Foveal depression
Cystoid spaces)
Retinal Thickening
Treatment
Treat causative factor
Topical NSAIDs (Ketorolac / Diclofenac ) used pre & post Operatively
Topical & Sytemic Steroids
Sytemic CA INHIBITORS (Oral ACETAZOLAMIDE) in CME Due to Retinitis Pigmentosa