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Cystoid puncture did not improve visual acuity in study of patients with chronic CME
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A new surgical technique can resolve or improve effusion rates in patients with chronic cystoid macular edema, although visual acuity remains unaffected, according to a small study by researchers in Cleveland.
Rishi P. Singh, MD, and colleagues at the Cole Eye Institute reviewed records for seven patients treated with cystoid macular edema puncture for chronic cystoid macular edema (CME). The study included five patients with diabetic retinopathy, one with a central retinal vein occlusion and one with a branch retinal vein occlusion.
In all patients, the CME had not responded to previous medical and surgical interventions, the authors noted.
Surgeons performed cystoid macular edema puncture after a median of 488 days.
Postoperatively, fluorescein angiography and optical coherence tomography showed an improvement in edema in all eyes. However, visual acuity remained unchanged from baseline in six patients and declined in one patient, the authors reported.
This study is published in the August issue of British Journal of Ophthalmology.