Cystoid macular edema following selective laser trabeculoplasty in a patient with ocular hypertension

• Published in: International ophthalmology Vol. 39; no. 8; pp. 1891 - 1893
• Main Authors: Örnek, Nurgül, Örnek, Kemal, Oğurel, Tevfik, Büyüktortop Gökçınar, Nesrin
• Format: Journal Article
• Language: English
• Published: Dordrecht Springer Netherlands 01-08-2019; Springer Nature B.V
• Subjects: Acetic acid; Acuity; Case Report; Cataracts; Edema; Hypertension; Intraocular pressure; Medicine; Medicine & Public Health; Nepafenac; Ophthalmology; Patients; Prednisolone; Pressure effects; Rapid prototyping; Surgery; Visual acuity; Cataract surgery; Cystoid macular edema; Ocular hypertension; Selective laser trabeculoplasty
• ISSN: 0165-5701; 1573-2630
• DOI: 10.1007/s10792-018-1000-5

Purpose
Presentation of a case with ocular hypertension who developed cystoid macular edema (CME) following selective laser trabeculoplasty (SLT).
Case report
A 62-year-old male patient who had undergone phacoemulsification surgery for traumatic cataract 9 years ago was on ocular hypertension treatment for the last 5 years. Due to uncontrolled intraocular pressure and side effect of medications, a 360° SLT was performed. The patient returned with decrased visual acuity 1 week after the procedure. There was CME in the treated eye. It healed completely after topical prednisolone acetate QID and nepafenac QID for 1 week, and no recurrence was observed during follow-ups.
Conclusion
Cystoid macular edema may occur following SLT treatment in patients with previous traumatic cataract surgery which responds to topical treatment.