@article{Alam_Idris_Yaqoob_Nathaniel_Hussain_Sabir_2020, title={Cystoid Macular Edema after Extracapsular Cataract Extraction Performed by Residents: 10.36351/pjo.v36i3.1029}, volume={36}, url={https://www.pjo.org.pk/index.php/pjo/article/view/1029}, DOI={10.36351/pjo.v36i3.1029}, abstractNote={<p>Purpose: To determine the frequency and outcome of management of cystoid macular edema after extra<br>capsular cataract extraction performed by residents.<br>Study Design: Interventional case series.<br>Place and Duration of Study: Lady Reading Hospital, MTI, Peshawar from Oct 2018 to Oct 2019.<br>Material and Methods: Total 400 patients with mature cataract were included in our study. Patients having preexisting<br>disease such as uveitis, hypertensive retinopathy, diabetic retinopathy and retinal degenerations were<br>excluded. All surgeries were performed by 4th year residents under supervision. Complicated cases before or<br>during surgery were excluded from the study. Cystoid macular edema cases were classified as follows; acute<br>occurring within three months of cataract extraction and with duration fewer than 6 months, chronic persisting<br>more than 6 months. Patients were either managed conservatively or with anti-VEGF. All cases were followed for<br>3 months or longer until resolution of cystoid macular edema.<br>Results: Twenty patients developed cystoid macular edema out of which 16 patients (80%) improved with<br>conservative treatment and 4 patients (20%) developed resistant cystoid macular edema. All four patients were<br>given intravitreal bevacizumab injection monthly for three months. Our findings showed that best corrected visual<br>acuity (BCVA) before injection ranged from 6/60 to 6/24. After three injections BCVA improved between 6/18 to<br>6/6. Pre injection central subfield thickness (CSFT) was between 611 to 480 micron which improved to 272 -260<br>micron after injections.<br>Conclusion: Cystoid macular edema responds well to conservative treatment but resistant cases need repeated<br>inj of anti VEGF.</p>}, number={3}, journal={Pakistan Journal of Ophthalmology}, author={Alam, Adnan and Idris, Mohammad and Yaqoob, Hassan and Nathaniel, Eemaz and Hussain, Syed Ittrat and Sabir, Hadia}, year={2020}, month={May} }