Cystoid macular edema after pediatric intraocular lens implantation: Fluorescein angioscopy results and literature review

Purpose: To evaluate the occurrence of cystoid macular edema (CME) after le ns extraction, anterior vitrectomy, and intraocular lens implantation (IOL) in children using angioscopy after administration of oral fluorescein. Setting: Centers in Tamil Nadu, India, and Hong Kong, China. Methods: This study comprised 18 children (28 eyes) who had cataract extrac tion, posterior capsulorhexis, anterior vitrectomy, and in-the-bag IOL impl antation. The presence of CME was evaluated 1 week and 4 to 6 weeks after s urgery using fluorescein angioscopy. Results: Anterior chamber fibrin occurred in 4 eyes (14.3%). Fluorescein an gioscopy was performed 1 week after surgery in all eyes and after 1 month i n 25 eyes (89.3%). No eye demonstrated the presence of CME on fluorescein a ngioscopy. Conclusions: Cystoid macular edema did not occur in the early period after pediatric cataract surgery using current surgical techniques. Longer follow -up is required to ascertain the incidence of CME in the late postoperative period. (C) 200 1 ASCRS and ESCRS.