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Spectral domain optical coherence tomography documented rapid resolution of pseudophakic cystoid macular edema with topical difluprednate

机译:光谱域光学相干断层扫描显示局部双氟泼尼特可快速解决假晶状体囊状黄斑水肿

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Introduction: Pseudophakic cystoid macular edema is a common cause of poor vision after cataract surgery, and topical corticosteroids and nonsteroidal anti-inflammatory drugs are used for its treatment. We investigated the effectiveness of difluprednate (Durezol?, recently approved by the US Food and Drug Administration) in the treatment of cystoid macular edema, assisted with spectral domain optical coherence tomography (SD-OCT).Case report: A 63-year-old African-American woman presented 6 weeks after uneventful cataract surgery in her left eye with decreased vision and associated distortion of the central visual field. Fluorescein angiogram and SD-OCT confirmed pseudophakic cystoid macular edema. Difluprednate was topically administered twice daily and monitored with serial imaging. Resolution was noted after 1 month of topical therapy, with improvement in visual acuity and resolution of distortion.Conclusion: Difluprednate is an effective treatment for patients with severe pseudophakic cystoid macular edema. SD-OCT allows the physician to monitor resolution of the macular edema easily.
机译:简介:伪晶状体黄斑水肿是白内障手术后视力低下的常见原因,并使用局部皮质类固醇和非甾体抗炎药治疗。我们研究了双氟泼尼酯(Durezol ?,最近获得美国食品和药物管理局批准)在光谱域光学相干断层扫描(SD-OCT)的辅助下治疗囊状黄斑水肿的疗效。病例报告:63岁一名非裔美国人妇女在白内障手术顺利进行6周后,其左眼出现视力下降和中央视野的相关畸变。荧光素血管造影和SD-OCT证实为假晶状囊样黄斑水肿。地氟米特每天局部给药两次,并通过连续成像进行监测。局部用药1个月后,症状消失,视力得到改善,扭曲变形得到改善。结论:氟哌丁酯对重度假晶状体囊状黄斑水肿患者有效。 SD-OCT使医生可以轻松监控黄斑水肿的消退。

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