Cystoid macular edema after pediatric intraocular lens implantation: fluorescein angioscopy results and literature review.
OBJECTIVE
To evaluate the occurrence of cystoid macular edema (CME) after lens extraction, anterior vitrectomy, and intraocular lens implantation (IOL) in children using angioscopy after administration of oral fluorescein.


METHODS
Centers in Tamil Nadu, India, and Hong Kong, China.


METHODS
This study comprised 18 children (28 eyes) who had cataract extraction, posterior capsulorhexis, anterior vitrectomy, and in-the-bag IOL implantation. The presence of CME was evaluated 1 week and 4 to 6 weeks after surgery using fluorescein angioscopy.


RESULTS
Anterior chamber fibrin occurred in 4 eyes (14.3%). Fluorescein angioscopy was performed 1 week after surgery in all eyes and after 1 month in 25 eyes (89.3%). No eye demonstrated the presence of CME on fluorescein angioscopy.


CONCLUSIONS
Cystoid macular edema did not occur in the early period after pediatric cataract surgery using current surgical techniques. Longer follow-up is required to ascertain the incidence of CME in the late postoperative period.
Sankara Nethralaya, Medical & Vision Research Foundations, Tamil Nadu, India. MDSAAA35@giasmd01.vsnl.net.in
S K
SK
Rao
K
K
Ravishankar
G
G
Sitalakshmi
J S
JS
Ng
C
C
Yu
D S
DS
Lam
D019923:Capsulorhexis; D002648:Child; D002675:Child, Preschool; D005260:Female; D019793:Fluorescein; D005451:Fluorescein Angiography; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D008269:Macular Edema / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D018918:Phacoemulsification; D011446:Prospective Studies; D014821:Vitrectomy
D019793:Fluorescein