title: Transient corneal edema is a predictive factor for pseudophakic cystoid macular edema after uncomplicated cataract surgery.
abstract: OBJECTIVE
  To report transient corneal edema after phacoemulsification as a predictive factor for the development of pseudophakic cystoid macular edema (PCME).
  
  
  METHODS
  A total of 150 eyes from 150 patients (59 men and 91 women; mean age, 68.0 ± 10.15 years) were analyzed using spectral domain optical coherence tomography 1 week and 5 weeks after routine phacoemulsification cataract surgery. Transient corneal edema detected 1 week after surgery was analyzed to reveal any significant relationship with the development of PCME 5 weeks after surgery.
  
  
  RESULTS
  Transient corneal edema developed in 17 (11.3%) of 150 eyes 1 week after surgery. A history of diabetes mellitus was significantly associated with development of transient corneal edema (odds ratio [OR], 4.04; 95% confidence interval [CI], 1.41 to 11.54; p = 0.011). Both diabetes mellitus and transient corneal edema were significantly associated with PCME development 5 weeks after surgery (OR, 4.58; 95% CI, 1.56 to 13.43; p = 0.007; and OR, 6.71; CI, 2.05 to 21.95; p = 0.003, respectively). In the 8 eyes with both diabetes mellitus and transient corneal edema, 4 (50%) developed PCME 5 weeks after surgery.
  
  
  CONCLUSIONS
  Transient corneal edema detected 1 week after routine cataract surgery is a predictive factor for development of PCME. Close postoperative observation and intervention is recommended in patients with transient corneal edema.
authors: Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Korea.
authors: Jae Rock
authors: JR
authors: Do
authors: Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Korea.
authors: Jong-Hyun
authors: JH
authors: Oh
authors: Department of Ophthalmology and Visual Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
authors: Roy S
authors: RS
authors: Chuck
authors: Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Korea.
authors: Choul Yong
authors: CY
authors: Park
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003315:Cornea / Q000473:pathology*; D015715:Corneal Edema / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D005961:Glucosinolates; D006801:Humans; D008269:Macular Edema / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D019591:Pseudophakia / Q000150:complications* / Q000175:diagnosis; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence
chemical_list: D005961:Glucosinolates; C009048:progoitrin
keywords: Cataract; Corneal edema; Macular edema; Phacoemulsification; Risk factors
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