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Cystoid Macular Edema

What is Cystoid Macular Edema?

The macula is the central portion of the retina – the part of the retina that is responsible for detailed vision, such as reading. Cystoid Macular Edema (CME) is a condition in which the macula becomes swollen with fluid-filled cysts. CME can occur in the setting of diabetes, retinal vein occlusion, or uveitis (inflammation inside the eye). CME is most commonly seen after cataract surgery.

What are the Symptoms Cystoid Macular Edema?

About one to three percent of patients will have decreased vision due to CME following cataract surgery. Often, the patient will experience improved vision following cataract surgery, and then vision will begin to grow more blurred one to three months afterward.

However, CME can occur many months or years following surgery. CME can occur even after uneventful eye surgery. If you experience CME in one eye, you are at increased risk for developing it in the other eye.

How Do Eye Doctors Diagnose Cystoid Macular Edema?

CME can sometimes be detected with a complete eye exam, but frequently specialized testing such as fluorescein angiography and optical coherence tomography (OCT) are required. These can be performed in the office on your first visit with us. With these tests, we can tell you with great accuracy whether or not you have CME.

How Do You Treat Cystoid Macular Edema?

Fortunately, CME will usually improve over time, but recovery can take months. Treatment can hasten the recovery, and it is sometimes required to achieve any improvement. Usually, steroid and non-steroidal anti-inflammatory drops are given in combination for a period of weeks to months. Steroid injections in and around the eye are sometimes very effective in treating CME when it does not clear with drops. In the most severe of cases, vitrectomy surgery where the vitreous gel is removed from the eye is useful in restoring some sight.

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Testimonials

What Our Patients Say

"Great doctors. First visit with Dr Levine and I thought he was excellent in explaining the exam process, occurrences I should be concerned about and call immediately and future things we will monitor. Very good equipment to take pictures of my retinas and all the staff was excellent.""

- Harry

"Dr Laird is professional, caring and takes the time to explain. I feel like I’m in very good hands with him. The staff are all wonderful. You can’t get better treatment than here.""

- Gail

"Always such informative visits, tuned to my eye situation. I feel completely comfortable with both Dr Gallogly and Dr Lavina. Surgeries went so well and the continual care is awesome.Excellent communication and my eyes are doing great!""

- Linda

"Always such informative visits, tuned to my eye situation. I feel completely The best retina specialists in the state as far as I'm concerned. Outstanding care. Very punctual with compassionate care for the patient. Dr Phillip Liard and his staff are superb. Such kind professionals""

- Craig

"I was extremely pleased. Scheduling was very easy, I was seen promptly, the staff was friendly, skillful and efficient, and Dr. Guildford was terrific. He was easy to talk to, gave very clear explanations and feedback, and was exceedingly thorough. All in all, my visit couldn’t have been better.""

- Steve

"Everyone I encountered was pleasant, efficient and knowledgeable. I feel all are doing their best to successfully treat my AMD.""

- Doris

"The staff at Retina Care Specialists are professional, friendly and skilled in their various positions. Dr. Adrian Lavina is an excellent Optometrist who cares about his patients. He takes the time to explain and reassure his patients about all of the aspects of the procedures that they are about to undergo. A true caring professional.""

- Dave

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