Assessment of Cystoid Macular Edema after Phacoemulsification (One week and One Month Post Operative) by Optical Coherence Tomography (OCT)

Jiyan Shamsadeen  Hafdhullah; Kawa Khoshnaw  Khalil; Khosro Senyar  Tato

doi:10.56056/amj.2025.367

Authors

Jiyan Shamsadeen Hafdhullah MBChB, HD Ophthalmology, trainee of Kurdistan Higher Council of Medical Specialties. Duhok, Iraq
Kawa Khoshnaw Khalil MBChB, Vitreoretinal Consultant Surgeon of Ophthalmology/Ministry of Health
Khosro Senyar Tato MBChB, MD Ophthalmologist. Fellowship Vitreoretinal Surgery. Lecturer at College of medicine/University of Duhok

DOI:

https://doi.org/10.56056/amj.2025.367

Keywords:

Cystoid macular edema, Coherence Tomography, Macular thickness, Optical, Uneventful phacoemulsification

Abstract

Background and objectives: Following a successful cataract surgery with intraocular lens implantation, cystoid macular oedema can be one of the leading causes to visual impairment. We aimed to evaluate the postoperative thickness and alteration of the central macular thickness in healthy patients with senile cataract and diabetics following uneventful phacoemulsification surgery using Optical Coherence Tomography.

Methods: A retrospective analysis was conducted between April and September,2022, at the public Duhok Eye Hospital in Duhok city. Data were collected from patients who were undergoing simple uneventful phacoemulsification and intraocular lens implantation. Every patient was prepared to be enrolled for cataract surgery with the preoperative assessment of central macular thickness and then to be reassessed and compared after a week then one month postoperatively.

Results:

The post operative comparison between the mean central macular thickness values in group 1, at week one, and after one month, with the group 2's mean revealed statistically significant differences. Group 1's mean age was 55.30 ± 5.66 years while group 2's mean age was 60.20 ± 10.74 years. There were 45 (41%) females and 75 (59%) males in total for the study group1 consisted of 48.5% females and 51.5% males, while group 2 had 33.3% females and 66.7% males.

Conclusion: After a safe and uneventful phacoemulsification surgery, there was a trivial variation in the central macular thickness between normal nondiabetic people and diabetic persons without complication, before and after operation.

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