Rapid response of cystoid macular edema related to Nd:YAG laser capsulotomy to 0.5% ketorolac.
A 68-year-old woman who had had cataract surgery several years previously presented with decreasing visual acuity and posterior capsular opacification. She underwent an Nd:YAG laser capsulotomy, but developed decreased visual acuity secondary to cystoid macular edema 2 months after the procedure. She was immediately administered 0.5% ketorolac drops. Several days after initiating treatment, she noted an improvement in her vision. Eight days later, her vision had improved from 20/400 to 20/60. Three weeks later, her vision returned to her baseline of 20/30 and a fluorescein angiogram showed resolution of the edema. This may indicate that cystoid macular edema related to Nd:YAG laser capsulotomy is caused by prostaglandin release, and that it may be responsive to topical nonsteroidal drops.
Lee
Michael S
MS
Department of Ophthalmology, Vitreoretinal Diseases and Surgery, Case Western Reserve University, Cleveland, Ohio, USA.
Lass
Jonathan H
JH
D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D020910:Ketorolac / Q000008:administration & dosage*; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D008269:Macular Edema / Q000188:drug therapy* / Q000209:etiology; D011183:Postoperative Complications; D014786:Vision Disorders / Q000188:drug therapy / Q000209:etiology; D014792:Visual Acuity / Q000187:drug effects
D000894:Anti-Inflammatory Agents, Non-Steroidal; D020910:Ketorolac