Abstract:
PURPOSE:To determine the incidence of cystoid macular edema (CME) after cataract surgery among eyes with and without uveitis using optical coherence tomography (OCT) and to determine risk factors for postoperative CME among eyes with uveitis. DESIGN:Prospective, comparative cohort study. METHODS:Single-center, academic practice. Forty-one eyes with uveitis and 52 eyes without uveitis underwent clinical examination and OCT testing within 4 weeks before cataract surgery and at 1-month and 3-month postoperative visits. The main outcome measure was incidence of CME at 1 and 3 months after surgery. RESULTS:Both uveitic and control eyes gained approximately 3 lines of vision (P = .6). Incidence of CME at 1 month was 12% (5 eyes) for uveitis and 4% (2 eyes) for controls (P = .2). Incidence of CME at 3 months was 8% (3 eyes) for uveitis and 0% for eyes without uveitis (P = .08). Eyes with uveitis treated with perioperative oral corticosteroids had a 7-fold reduction in postoperative CME (relative risk [RR], 0.14; P = .05). In uveitic eyes, active inflammation within 3 months before surgery increased the risk of CME when compared with eyes without inflammation (RR, 6.19; P = .04). CME was significantly associated with poorer vision (P = .01). CONCLUSIONS:Eyes with well-controlled uveitis may obtain similar outcomes to control eyes after cataract surgery (up to 3 months). Use of perioperative oral corticosteroids and control of uveitis for more than 3 months before surgery seemed to decrease the risk of postoperative CME among uveitic eyes in this study.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Bélair ML,Kim SJ,Thorne JE,Dunn JP,Kedhar SR,Brown DM,Jabs DAdoi
10.1016/j.ajo.2009.02.029subject
Has Abstractpub_date
2009-07-01 00:00:00pages
128-35.e2issue
1eissn
0002-9394issn
1879-1891pii
S0002-9394(09)00151-2journal_volume
148pub_type
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-04-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章,随机对照试验
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更新日期:2009-09-01 00:00:00
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更新日期:2020-09-01 00:00:00
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journal_title:American journal of ophthalmology
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doi:10.1016/s0002-9394(02)01967-0
更新日期:2003-03-01 00:00:00
abstract::By means of an immunofluorescent technique, we found factors promoting blood coagulation and platelet adhesion in the intima of retinal vessels. These factors coexisted with other agents causing the opposite process, fibrin dissolution. The components of this vascular hemostatic balance are possibly involved in the th...
journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:2019-04-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:2013-02-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:1994-06-15 00:00:00
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更新日期:1997-08-01 00:00:00
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更新日期:2021-01-22 00:00:00
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