Subject(s)
Cushing Syndrome/complications , Diabetic Retinopathy/complications , Female , Humans , Middle AgedABSTRACT
The eyes of 78 patients who underwent retinal detachment microsurgery (82 eyes) were prospectively evaluated postoperatively with fluorescein angiography. Of these 14.6% showed angiographic evidence of cystoid macular oedema (CMO.). A significantly greater risk of developing cmo was discovered in aphakic eyes (30% CMO.) as compared to phakic eyes (7% CMO.) and in eyes where the maculae were detached pre-operatively (23% CMO.), as compared to eyes where the maculae were attached pre-operatively (5% CMO.). Eyes which had undergone several surgical procedures for retinal reattachment (38% CMO.) were compared to eyes which had undergone only one surgical procedure (6.5% CMO.). It was found that 4.9% of the 82 eyes showed cellophane premacular membrane without dye leakage. A further 6% of the eyes showed premacular membranes associated with dye leakage. No statistically significant risk factor associated with the development of macular pucker was disclosed in this series.
Subject(s)
Fluorescein Angiography , Macular Edema/complications , Retinal Detachment/surgery , Adolescent , Adult , Aged , Female , Humans , Male , Membranes/pathology , Middle Aged , Postoperative Complications/diagnosis , Postoperative Complications/surgery , Retinal Detachment/pathologyABSTRACT
Four cases of acute panendothelial retinal leakage in juvenile diabetes are presented. One patient showed acute disc swelling mimicking optic disc new vessels, one had acute cystoid maculopathy, two had both diffuse retinal leakage and optic disc edema. Acute disc swelling and acute cystoid maculopathy in juvenile diabetes are probably variations of the same clinical entity. Acute endothelial leakage can involve either the epipapillary and peripapillary radial capillaries (acute disc swelling), the retinal capillaries of the posterior pole (acute cystoid maculopathy), or the entire epipapillary and retinal capillary network (diffuse panendothelial retinal leakage). Photocoagulation treatment is not indicated in the management of this specific clinical entity. In fact, acute panendothelial retinal leakage in juvenile diabetes seems to be related to poor blood sugar control. In 3 cases the"spontaneous" favorable course of the disease was probably related to the modification of insulin dosage after discovery of the ocular disease.
