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A treatment of cystoid macular edema after cataract surgery with acetazolamide Toshiya Lee 1 , Nobuhide Kojima 1 , Yoshio Urakawa 2 1Dept of Ophthalmol, Matsushiro General Hosp 2Dept of Opthalmol, Sch of Med, Shinshu Univ pp.781-784
Published Date 1991/5/15
DOI https://doi.org/10.11477/mf.1410900652
  • Abstract
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 A 62-year-old man suffered from bilateral cystoid macular edema (CME) occurred after planned extracapsular cataract extraction with intraocular lens implantation is reported.

 A rupture of the posterior capsule occurred during the operation of the right eye and the anterior vitrectomy was performed. Two months after the operation the right corrected visual acuity decreased from 0.7 to 0.2 and fundoscopic examination revealed CME. The administration of steroid was initiated, but no improvement of the visual acuity was noted. A few days after the treatment of the CME with acetazolamide (Diamox®), the corrected visual acuity improved from 0.2 to 0.4.

 One and a half months after the operation, the left corrected visual acuity decreased from 0.9 to 0.1 and fundoscopic examination revealed CME. Nine days after the Diamox® administration, the left corrected visual acuity improved from 0.1 to 1. 2. The relative failure of the treatment with Diamox® in the right eye was presumably due to the prolonged period between the visual loss and the initial treatment, inappropriate dose of the drug and a rupture of a posterior capsule in the operation. Diamox® may be effective in treating the patient with CME.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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