Nelson Mark L, Martidis Adam
Retina Service, Wills Eye Hospital, Philadephia, Pennsylvania 19107, USA.
Curr Opin Ophthalmol. 2003 Feb;14(1):39-43. doi: 10.1097/00055735-200302000-00007.
Cystoid macular edema (CME) is a common problem after cataract extraction. It can occur after uncomplicated surgery in patients with otherwise healthy eyes, after complicated surgery, or after surgery in patients with ocular diseases such as uveitis or diabetic retinopathy. Usually vision loss from cystoid macular edema is temporary and responds to treatment with topical anti-inflammatory medications. However, some cases respond poorly to conservative treatment and may develop permanent visual loss. A review of the medical literature was performed for all articles published in English between August 1, 2001 and July 31, 2002 on the topic of cystoid macular edema after cataract surgery. The authors selected nine articles that were most relevant to the practicing ophthalmologist for inclusion in this review. Topics of interest included vitreous loss, retained lens fragments, diabetes, uveitis, retinitis pigmentosa, ocular hypotensive lipids, internal limiting membrane peeling, and intravitreal triamcinolone injection.
黄斑囊样水肿（CME）是白内障摘除术后常见的问题。它可发生于手术顺利的健康眼患者、复杂手术后，或患有葡萄膜炎或糖尿病性视网膜病变等眼部疾病的患者手术后。通常，黄斑囊样水肿导致的视力丧失是暂时的，对局部抗炎药物治疗有反应。然而，有些病例对保守治疗反应不佳，可能会发展为永久性视力丧失。我们检索了2001年8月1日至2002年7月31日期间发表的所有关于白内障手术后黄斑囊样水肿主题的英文医学文献。作者选择了九篇与执业眼科医生最相关的文章纳入本综述。感兴趣的主题包括玻璃体丢失、残留晶状体碎片、糖尿病、葡萄膜炎、色素性视网膜炎、低眼压性脂质、内界膜剥除和玻璃体内注射曲安奈德。
