Treatment of pseudophakic cystoid macular edema by elevation of intraocular pressure.
We have utilized topical steroid therapy (dexamethasone 0.1%, one drop four times a day) in the treatment of seventeen pseudophakic patients with postoperative cystoid macular edema. Our patients underwent either extracapsular cataract extraction and implantation of a posterior chamber lens or intracapsular cataract extraction and anterior chamber lens placement. All of our patients achieved 20/40 vision after one to three months of therapy. Forty percent attained final visual acuity of 20/20. We attribute resolution of cystoid macular edema to elevation of intraocular pressure induced by topical steroids.
D000287:Administration, Topical; D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects*; D003907:Dexamethasone / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects*; D007910:Lenses, Intraocular / Q000009:adverse effects; D008269:Macular Edema / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D014792:Visual Acuity
D003907:Dexamethasone