CYSTOID MACULAR EDEMA IN POST CATARACT SURGERY PATIENTS; A COMPARISON OF THREE DIFFERENT SURGICAL PROCEDURES

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Shahid Abdur Rauf Khan
Waliullah Jan
Muhammad Irfan
Muhammad Ziauddin Khalil

Abstract

Objective: To determine the frequency of post cataract cystoid macular edema (CME) in three different types of cataract surgical procedures. Methodology: This was a cross sectional study. Total 222 patients having age related cataract were enrolled. Pre-operative optical coherence tomography (OCT) was performed to measure central macular thickness. Patients were then randomly allocated to three groups on the basis of type of surgical procedure; group A underwent phacoemulsification, group B, manual small incision cataract surgery (MSICS) and group C, extra capsular cataract surgery (ECCE). Post-operative OCT was done 06 weeks after surgery and the macular thickness was compared to pre-operative values for diagnosis of CME. The CME was then compared among the three groups. Results: Male were 115 and female were 107. Mean age of the patients was 53.38 + 7.44 years, (41 to 70 years). A total of 27 (12.16%) patients had CME following cataract surgery, 04 (5.12%) in group A , 06 (7.79%) in group B, 17 (25.37%) patients in group C had CME after surgery. Chi-square test was utilized for comparison of CME among the groups. Conclusion: The frequency of CME following cataract surgery was low. Phacoemulsification and MSICS gave almost similar, lower rates results while ECCE was found to have higher rates of CME.

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How to Cite
1.
Khan SAR, Jan W, Irfan M, Khalil MZ. CYSTOID MACULAR EDEMA IN POST CATARACT SURGERY PATIENTS; A COMPARISON OF THREE DIFFERENT SURGICAL PROCEDURES. J Postgrad Med Inst [Internet]. 2020 Oct. 22 [cited 2022 Jul. 6];34(2). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/2656
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Original Article
Author Biographies

Shahid Abdur Rauf Khan, Hayatabad Medical Complex

Fellow Vitreo Retina, Department of Ophthalmology

Waliullah Jan, Hayatabad Medical Complex

Fellow Vitreo Retina, Department of Ophthalmology

Muhammad Irfan, Hayatabad Medical Complex

Fellow Paediatric ophthalmology, Department of Ophthalmology

Muhammad Ziauddin Khalil, Hayatabad Medical Complex

Assistant Professor, Department of Ophthalmology

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