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Vitrectomia no tratamento do edema cistóide de mácula pós-pseudofacia

Vitrectomia no tratamento do edema cistóide de mácula pós-pseudofacia

Autores:

Kátia Emiko Taba,
Antonio Marcelo Barbante Casella,
José Augusto Cardillo,
Ayrton Roberto B. Ramos,
Jeffrey L. Marx,
Lawrence P. Chong

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.61 no.1 São Paulo fev. 1998

http://dx.doi.org/10.5935/0004-2749.19980110

SUMMARY

Introduction:

Cystoid macular edema (CME) is one of the leading causes for loss of visual acuity in patients after cataract surgery. The purpose of this study is to evaluate the efficacy of vitrectomy in the treatment of patients with pseudophakic cystoid macular edema who do not have an intact posterior capsule.

Material and methods:

We evaluated retrospectively the medical records of 11 pseudophakic patients with CME who had either removal or rupture of the posterior capsule and underwent vitrectomy for the treatment of CME.

Results:

There was a significant visual improvement comparing the pre- and post-operative visual acuities. We did not find a significant difference comparing the subgroups of anterior and posterior intraocular lens.

Conclusion:

Pars plana vitrectomy should be considered in the treatment of pseudophakic CME if there is evidence of vitreous traction and it is unresponsive to medical treatment.

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