Ultra-Widefield Fluorescein Angiography Findings in Patients with Macular Edema Following Cataract Surgery.
Jiwon BaekMee Yon LeeBoyun KimAyoung ChoiJuhye KimHyunggoo KwonSohee JeonPublished in: Ocular immunology and inflammation (2019)
Purpose: To evaluate the ultra-widefield fluorescein angiography (UWFA) findings in patients with macular edema (ME) following cataract surgery.Methods: Thirty-three eyes from patients who showed greater than a 30% increase in the central subfield thickness following cataract surgery were included. UWFA scored according to a system suggested by the Angiography Scoring for Uveitis Working Group (ASUWG). Factors associated with a high ASUWG score were evaluated.Results: Thirty-three (100.0%) of the 33 eyes showed abnormal UWFA findings, including optic disc staining (81.8%), capillary leakage (100.0%), pinpoint leakage (84.8%), peripheral retinal vascular leakage (24.2%) and retinal staining (6.1%). Multiple regression analysis reveals that following adjustment for other factors, younger age was independently associated with a higher ASUWG score (R2 = 0.476, p = .001).Conclusions: Patients with ME following cataract surgery show generalized inner and outer blood-retinal barrier breakage. Particular attention is required during cataract surgery in young patients.
Keyphrases
- cataract surgery
- optical coherence tomography
- diabetic retinopathy
- optic nerve
- end stage renal disease
- high resolution
- ejection fraction
- chronic kidney disease
- peritoneal dialysis
- computed tomography
- working memory
- juvenile idiopathic arthritis
- rheumatoid arthritis
- patient reported outcomes
- middle aged
- disease activity