Cataract surgery in a patient with cystic macular edema after central retinal vein occlusion? Combination with intravitreal dexamethasone implant

Florian Tobias Alwin Kretz, Gerd Uwe Auffarth

Abstract


A 77 years old patient presented for cataract surgery. At first visit we found a cataract and hypertensive signs of the fundus. Six month later during pre-surgical examination a cystoid macular edema (CME) caused by central retinal vein occlusion (CRVO) was found. As the cataract had proceeded, we decided to perform a combined surgery with intravitreal application of a dexamethason implant. The biometry of the first visit was used for IOL calculation. The procedure was performed without complications. Pre-surgical BCVA [logMAR] increased from 0.3 to 0.1 ten days after surgery while the central retinal thickness decreased from 586µm to 353µm with a nearly complete disappearance of the CME. Cataract surgery in patients with CME after CRVO can be combined with an intravitreal dexamethason implant and so lead to a good visual rehabilitation. Further studies are needed to give better evidence of the effectivity and to predict the possible treatment duration.


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