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A reduced incidence of cystoid macular edema following retinal detachment surgery using diathermy. 1985

A L Ackerman, and H W Topilow

Cystoid macular edema (CME) is recognized as an important cause of decreased visual acuity following successful retinal detachment surgery. Postoperative fluorescein angiographic studies suggest an incidence of up to 28% in phakic patients, and 50% in aphakic cases. Cryotherapy was used with scleral buckling in all these previous studies. In the series reported here, diathermy with scleral buckling was used to reattach the retina. In 126 phakic eyes the incidence of CME was 5.6% (7 cases). This is the lowest incidence reported in any series. We attribute these results to reduced intraocular inflammation using diathermy as compared to cryotherapy.

UI MeSH Term Description Entries
D008269 Macular Edema Fluid accumulation in the outer layer of the MACULA LUTEA that results from intraocular or systemic insults. It may develop in a diffuse pattern where the macula appears thickened or it may acquire the characteristic petaloid appearance referred to as cystoid macular edema. Although macular edema may be associated with various underlying conditions, it is most commonly seen following intraocular surgery, venous occlusive disease, DIABETIC RETINOPATHY, and posterior segment inflammatory disease. (From Survey of Ophthalmology 2004; 49(5) 470-90) Central Retinal Edema, Cystoid,Cystoid Macular Edema,Macular Edema, Cystoid,Cystoid Macular Dystrophy,Cystoid Macular Edema, Postoperative,Irvine-Gass Syndrome,Macular Dystrophy, Dominant Cystoid,Edema, Cystoid Macular,Edema, Macular,Irvine Gass Syndrome,Syndrome, Irvine-Gass
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D012163 Retinal Detachment Separation of the inner layers of the retina (neural retina) from the pigment epithelium. Retinal detachment occurs more commonly in men than in women, in eyes with degenerative myopia, in aging and in aphakia. It may occur after an uncomplicated cataract extraction, but it is seen more often if vitreous humor has been lost during surgery. (Dorland, 27th ed; Newell, Ophthalmology: Principles and Concepts, 7th ed, p310-12). Retinal Pigment Epithelial Detachment,Detachment, Retinal,Detachments, Retinal,Retinal Detachments
D003972 Diathermy The induction of local hyperthermia by either short radio waves or high-frequency sound waves. Diathermies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D012591 Scleral Buckling An operation for retinal detachment which reduces the size of the globe by indenting the sclera so that it approximates the retina. Buckling, Scleral,Bucklings, Scleral,Scleral Bucklings

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