Can right eye macular cystic edema be operated on?

summary

Cystoid macular edema (CME) is a common fundus disease, but it is not an independent disease, but the performance of many fundus diseases in the macular area. Can right eye macular cystic edema be operated on? Let's share my experience with you.

Can right eye macular cystic edema be operated on?

For the treatment of cystoid macular edema, the primary disease should be treated generally. For those caused by intraocular inflammation, anti-inflammatory drugs, such as retinal vasculitis and uveitis, can be given large doses of adrenocortical hormone.

For non-specific cystoid macular edema, such as central or branch retinal vein occlusion, diabetic retinopathy, and retinal telangiectasia, if fundus fluorescein angiography proves that there is leakage of retinal capillaries, and the course of disease is more than 3 months, there is no sign of improvement of vision and disease, It can be considered to use laser for macular lattice photocoagulation.

It is better to use yellow laser for macular lattice photocoagulation. If there is no yellow laser, green laser can also be used. It is better not to use blue laser. Because there is a large amount of xanthitol in the retinal nerve fiber layer in the macular area, it can absorb blue light and damage the retinal nerve fibers, thus causing damage to the visual function. A small amount of green light is absorbed, while yellow light is not, so yellow light is the safest for macular area.

matters needing attention

Prolonged edema can lead to the destruction of nerve fibers and photoreceptor cells, progressive atrophy of pigment epithelial cells, the formation of cystoid macular degeneration, permanent damage of visual function. Macular hole can also be formed by the rupture of macular vesicles.