eMedicine Specialties > Ophthalmology > Retina

Nonpseudophakic Cystoid Macular Edema: Multimedia

Author: Daniel B Roth, MD, Assistant Clinical Professor, Department of Ophthalmology, University of Medicine and Dentistry of New Jersey
Contributor Information and Disclosures

Updated: Jan 4, 2008

Multimedia

Fundus photograph of left eye with branch retinal...Media file 1: Fundus photograph of left eye with branch retinal vein occlusion and cystoid macular edema. Visual acuity was 20/50, and the patient was treated with a modified grid laser photocoagulation and posterior sub-Tenon injection of triamcinolone.
Fundus photograph of left eye with branch retinal...

Fundus photograph of left eye with branch retinal vein occlusion and cystoid macular edema. Visual acuity was 20/50, and the patient was treated with a modified grid laser photocoagulation and posterior sub-Tenon injection of triamcinolone.

Fundus photograph of nonproliferative diabetic re...Media file 2: Fundus photograph of nonproliferative diabetic retinopathy with clinically significant macular edema and cystoid macular edema.
Fundus photograph of nonproliferative diabetic re...

Fundus photograph of nonproliferative diabetic retinopathy with clinically significant macular edema and cystoid macular edema.

Fluorescein angiogram of same eye as in Media fil...Media file 3: Fluorescein angiogram of same eye as in Media file 2, revealing both cystoid macular edema and leakage from microaneurysms associated with diabetic retinopathy.
Fluorescein angiogram of same eye as in Media fil...

Fluorescein angiogram of same eye as in Media file 2, revealing both cystoid macular edema and leakage from microaneurysms associated with diabetic retinopathy.

Ocular coherence tomographic image of cystoid mac...Media file 4: Ocular coherence tomographic image of cystoid macular edema in a patient with uveitis.
Ocular coherence tomographic image of cystoid mac...

Ocular coherence tomographic image of cystoid macular edema in a patient with uveitis.

Cystoid macular edema in patient with diabetic re...Media file 5: Cystoid macular edema in patient with diabetic retinopathy.
Cystoid macular edema in patient with diabetic re...

Cystoid macular edema in patient with diabetic retinopathy.

Eye in previous image with diabetic CME after inj...Media file 6: Eye in previous image with diabetic CME after injection with 4 mg of intravitreal triamcinolone.
Eye in previous image with diabetic CME after inj...

Eye in previous image with diabetic CME after injection with 4 mg of intravitreal triamcinolone.

More on Nonpseudophakic Cystoid Macular Edema

Overview: Nonpseudophakic Cystoid Macular Edema
Differential Diagnoses & Workup: Nonpseudophakic Cystoid Macular Edema
Treatment & Medication: Nonpseudophakic Cystoid Macular Edema
Follow-up: Nonpseudophakic Cystoid Macular Edema
Multimedia: Nonpseudophakic Cystoid Macular Edema
References

References

  1. Moroi SE, Gottfredsdottir MS, Schteingart MT, Elner SG, Lee CM, Schertzer RM, et al. Cystoid macular edema associated with latanoprost therapy in a case series of patients with glaucoma and ocular hypertension. Ophthalmology. May 1999;106(5):1024-9. [Medline].

  2. Altintas O, Yuksel N, Karabas VL, Demirci G. Cystoid macular edema associated with latanoprost after uncomplicated cataract surgery. Eur J Ophthalmol. Jan-Feb 2005;15(1):158-61. [Medline].

  3. Antcliff RJ, Spalton DJ, Stanford MR, Graham EM, ffytche TJ, Marshall J. Intravitreal triamcinolone for uveitic cystoid macular edema: an optical coherence tomography study. Ophthalmology. Apr 2001;108(4):765-72. [Medline].

  4. Boscia F, Furino C, Dammacco R. Intravitreal triamcinolone acetonide in refractory pseudophakic cystoid macular edema: functional and anatomic results. Eur J Ophthalmol. Jan-Feb 2005;15(1):89-95. [Medline].

  5. Callanan D, Fellman RL, Savage JA. Latanoprost-associated cystoid macular edema. Am J Ophthalmol. Jul 1998;126(1):134-5. [Medline].

  6. Conway MD, Canakis C, Livir-Rallatos C. Intravitreal triamcinolone acetonide for refractory chronic pseudophakic cystoid macular edema. J Cataract Refract Surg. Jan 2003;29(1):27-33. [Medline].

  7. Falcone PM. Vitreomacular traction syndrome confused with pseudophakic cystoid macular edema. Ophthalmic Surg Lasers. May 1996;27(5):392-4. [Medline].

  8. Feldman RB, Mayo SS, Robertson DM, Jones JD, Rostvold JA. Epiretinal membranes and cystoid macular edema in gyrate atrophy of the choroid and retina. Retina. 1989;9(2):139-42. [Medline].

  9. Fung WE. Retina. In: Other causes of cystoid macular edema and retinal trauma after surgery. 2(2). 1994:1811-7.

  10. Gregori NZ, Rosenfeld PJ, Puliafito CA, Flynn HW Jr, Lee JE, Mavrofrides EC, et al. One-year safety and efficacy of intravitreal triamcinolone acetonide for the management of macular edema secondary to central retinal vein occlusion. Retina. Oct 2006;26(8):889-95. [Medline].

  11. Halperin LS, Goldman HB. Cystoid macular edema associated with topical echothiophate iodide. Ann Ophthalmol. Dec 1993;25(12):457-8. [Medline].

  12. Heckenlively JR, Jordan BL, Aptsiauri N. Association of antiretinal antibodies and cystoid macular edema in patients with retinitis pigmentosa. Am J Ophthalmol. May 1999;127(5):565-73. [Medline].

  13. Heier JS, Steinert RF, Frederick AR Jr. Cystoid macular edema associated with latanoprost use. Arch Ophthalmol. May 1998;116(5):680-2. [Medline].

  14. Hirakawa H, Iijima H, Gohdo T, Tsukahara S. Optical coherence tomography of cystoid macular edema associated with retinitis pigmentosa. Am J Ophthalmol. Aug 1999;128(2):185-91. [Medline].

  15. Igarashi H, Igarashi S, Ishiko S, Fukui K, Yoshida A. Cystoid macular edema as an initial symptom of inflammatory orbital pseudotumor. Ophthalmologica. 1997;211(4):236-41. [Medline].

  16. Ikeda T, Sato K, Katano T, Hayashi Y. Attached posterior hyaloid membrane and the pathogenesis of honeycombed cystoid macular edema in patients with diabetes. Am J Ophthalmol. Apr 1999;127(4):478-9. [Medline].

  17. Ip MS, Gottlieb JL, Kahana A, Scott IU, Altaweel MM, Blodi BA, et al. Intravitreal triamcinolone for the treatment of macular edema associated with central retinal vein occlusion. Arch Ophthalmol. Aug 2004;122(8):1131-6. [Medline].

  18. Jonas JB, Akkoyun I, Kamppeter B, Kreissig I, Degenring RF. Branch retinal vein occlusion treated by intravitreal triamcinolone acetonide. Eye. Jan 2005;19(1):65-71. [Medline].

  19. Kersten AJ, Althaus C, Best J, Sundmacher R. Cystoid macular edema following immune recovery and treatment with cidofovir for cytomegalovirus retinitis. Graefes Arch Clin Exp Ophthalmol. Nov 1999;237(11):893-6. [Medline].

  20. Kim BY, Smith SD, Kaiser PK. Optical coherence tomographic patterns of diabetic macular edema. Am J Ophthalmol. Sep 2006;142(3):405-12. [Medline].

  21. Lee ST, Friedman SM, Rubin ML. Cystoid macular edema secondary to juxtafoveolar telangiectasis in Coats' disease. Ophthalmic Surg. Apr 1991;22(4):218-21. [Medline].

  22. Loeffler KU, Li ZL, Fishman GA, Tso MO. Dominantly inherited cystoid macular edema. A histopathologic study. Ophthalmology. Sep 1992;99(9):1385-92. [Medline].

  23. Maguire AM, Nichols CW, Crooks GW. Visual loss in cytomegalovirus retinitis caused by cystoid macular edema in patients without the acquired immune deficiency syndrome. Ophthalmology. Apr 1996;103(4):601-5. [Medline].

  24. McDonnell PJ, Ryan SJ, Walonker AF, Miller-Scholte A. Prediction of visual acuity recovery in cystoid macular edema. Ophthalmic Surg. May 1992;23(5):354-8. [Medline].

  25. Meyer CH. Current treatment approaches in diabetic macular edema. Ophthalmologica. 2007;221(2):118-31. [Medline].

  26. Michael JC, De Venecia G. Retinal trypsin digest study of cystoid macular edema associated with peripheral choroidal melanoma. Am J Ophthalmol. Feb 1995;119(2):152-6. [Medline].

  27. Mishima H, Masuda K, Miyake K. The putative role of prostaglandins in cystoid macular edema. Prog Clin Biol Res. 1989;312:251-64. [Medline].

  28. Park CH, Jaffe GJ, Fekrat S. Intravitreal triamcinolone acetonide in eyes with cystoid macular edema associated with central retinal vein occlusion. Am J Ophthalmol. Sep 2003;136(3):419-25. [Medline].

  29. Park DW, Folk JC, Whitcup SM, Polk TD, Kansupada K, Fountain C, et al. Phakic patients with cystoid macular edema, retinal periphlebitis, and vitreous inflammation. Arch Ophthalmol. Aug 1998;116(8):1025-9. [Medline].

  30. Rabena MD, Pieramici DJ, Castellarin AA, Nasir MA, Avery RL. Intravitreal bevacizumab (Avastin) in the treatment of macular edema secondary to branch retinal vein occlusion. Retina. Apr-May 2007;27(4):419-25. [Medline].

  31. Remky A, Beausencourt E, Hartnett ME, Trempe CL, Arend O, Elsner AE. Infrared imaging of cystoid macular edema. Graefes Arch Clin Exp Ophthalmol. Nov 1999;237(11):897-901. [Medline].

  32. Rocha G, Deschênes J. Pathophysiology and treatment of cystoid macular edema. Can J Ophthalmol. Oct 1996;31(6):282-8. [Medline].

  33. Rumelt S, Kraus E, Rehany U. Retinal neovascularization and cystoid macular edema in punctata albescens retinopathy. Am J Ophthalmol. Oct 15 1992;114(4):507-8. [Medline].

  34. Schubert HD. Cystoid macular edema: the apparent role of mechanical factors. Prog Clin Biol Res. 1989;312:277-91. [Medline].

  35. Silverstein BE, Smith JH, Sykes SO, Jones MR, Schwartz D, Cunningham ET Jr. Cystoid macular edema associated with cytomegalovirus retinitis in patients with the acquired immunodeficiency syndrome. Am J Ophthalmol. Mar 1998;125(3):411-5. [Medline].

  36. Thach AB, Dugel PU, Flindall RJ, Sipperley JO, Sneed SR. A comparison of retrobulbar versus sub-Tenon's corticosteroid therapy for cystoid macular edema refractory to topical medications. Ophthalmology. Dec 1997;104(12):2003-8. [Medline].

  37. van Kooij B, Rothova A, de Vries P. The pros and cons of intravitreal triamcinolone injections for uveitis and inflammatory cystoid macular edema. Ocul Immunol Inflamm. Apr 2006;14(2):73-85. [Medline].

  38. Weene LE. Cystoid macular edema after scleral buckling responsive to acetazolamide. Ann Ophthalmol. Nov 1992;24(11):423-4. [Medline].

  39. Welzl-Hinterkorner E, Tholen H, Sturmer J, Opravil M, Bernauer W. [Bilateral cystoid macular edema after successful treatment of AIDS-associated cytomegalovirus retinitis]. Ophthalmologe. Feb 1999;96(2):87-91. [Medline].

  40. Whitcup SM, Csaky KG, Podgor MJ, Chew EY, Perry CH, Nussenblatt RB. A randomized, masked, cross-over trial of acetazolamide for cystoid macular edema in patients with uveitis. Ophthalmology. Jul 1996;103(7):1054-62; discussion 1062-3. [Medline].

  41. Yepremyan M, Wertz FD, Tivnan T, Eversman L, Marx JL. Early treatment of cystoid macular edema secondary to branch retinal vein occlusion with intravitreal triamcinolone acetonide. Ophthalmic Surg Lasers Imaging. Jan-Feb 2005;36(1):30-6. [Medline].

Further Reading

Keywords

nonpseudophakic CME, cystoid macular edema, CME, macular edema, non-pseudophakic cystoid macular edema, non-pseudophakic CME, Irvine-Gass syndrome, macula, vision loss

Contributor Information and Disclosures

Author

Daniel B Roth, MD, Assistant Clinical Professor, Department of Ophthalmology, University of Medicine and Dentistry of New Jersey
Daniel B Roth, MD is a member of the following medical societies: American Academy of Ophthalmology, American Medical Association, and American Society of Retina Specialists
Disclosure: Nothing to disclose.

Medical Editor

Vytautas A Pakainis, MD, Chief of Ophthalmology, Dorn Veterans Administration Medical Center, Professor of Ophthalmology, Ophthalmology, University of South Carolina School of Medicine
Vytautas A Pakainis, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and South Carolina Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Simon K Law, MD, PharmD, Assistant Professor of Ophthalmology, Jules Stein Eye Institute; Chief of Section of Ophthalmology Surgical Services, Department of Veterans Affairs Healthcare Center, West Los Angeles
Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, American Glaucoma Society, and Association for Research in Vision and Ophthalmology
Disclosure: Nothing to disclose.

Managing Editor

Steve Charles, MD, Director of Charles Retina Institute; Clinical Professor, Department of Ophthalmology, University of Tennessee College of Medicine
Steve Charles, MD is a member of the following medical societies: American Academy of Ophthalmology, American Society of Retina Specialists, Club Jules Gonin, Macula Society, and Retina Society
Disclosure: Alcon Laboratories Consulting fee Consulting

CME Editor

Lance L Brown, OD, MD, Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri
Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD, Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences
Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.