Preexisting epiretinal membrane is associated with pseudophakic cystoid macular edema
Schaub F, Adler W, Enders P, Koenig MC, Koch KR, Cursiefen C, Kirchhof B, Heindl LM (2018)
Publication Type: Journal article
Publication year: 2018
Journal
Book Volume: 256
Pages Range: 909-917
Journal Issue: 5
DOI: 10.1007/s00417-018-3954-4
Abstract
PURPOSE: The purpose of the present study was to evaluate whether preexisting epiretinal membrane (ERM) is a significant risk factor for developing pseudophakic cystoid macular edema (PCME). METHODS: Two hundred four consecutive eyes and 153 consecutive eyes without preexisting epiretinal membranes were retrospectively compared regarding PCME development following phacoemulsification with posterior chamber lens implantation. Patients with vascular retinal diseases, uveitis, trauma, neovascular macular degeneration, chronic inflammatory conditions, diabetic retinopathy, endophthalmitis, eventful cataract surgery, and combination of cataract surgery and vitrectomy during the observation period were excluded. Macular examination was performed using spectral-domain optical coherence tomography (SD-OCT) before as well as at 4, 8, 12, 16, 24, and 36 weeks after cataract surgery. Univariate and multivariate logistic regression analyses were calculated. RESULTS: PCME occurred in 32 of 204 eyes with preexisting ERM (15.7%), whereas 9 of 153 eyes without preexisting ERM (5.9%) developed PCME. The risk of PCME was significantly increased in eyes with ERM (p = 0.007). By multivariate logistic regression analysis, factors predictive of PCME included the history of previous pars plana vitrectomy for retinal detachment (odds ratio (OR) 3.619 [95% confidence interval (CI) 1.242 to 10.258]; p = 0.016) as well as the preexistence of ERM (OR 3.885 [95% CI 1.162 to 17.762]; p = 0.04). CONCLUSION: Preexisting ERM seems to be associated with an increased risk of PCME following cataract surgery. Therefore, this risk should be considered in surgery planning, preoperative medication, and follow-up care after surgery.
Authors with CRIS profile
Involved external institutions
Germany (DE)How to cite
APA:
Schaub, F., Adler, W., Enders, P., Koenig, M.C., Koch, K.R., Cursiefen, C.,... Heindl, L.M. (2018). Preexisting epiretinal membrane is associated with pseudophakic cystoid macular edema. Graefes Archive For Clinical and Experimental Ophthalmology, 256(5), 909-917. https://doi.org/10.1007/s00417-018-3954-4
MLA:
Schaub, Friederike, et al. "Preexisting epiretinal membrane is associated with pseudophakic cystoid macular edema." Graefes Archive For Clinical and Experimental Ophthalmology 256.5 (2018): 909-917.
BibTeX: Download