Utilizing optical coherence tomography in the diagnosis and management of cystoid macular edema with topical treatment

ilizing optical coherence tomography in the diagnosis and management of cystoid macular edema with topical treatment Case report (2513) Total Article Views Authors: Michael Dobos Published Date November 2010 Volume 2010:2 Pages 105 - 112 DOI: http://dx.doi.org/10.2147/OPTO.S10815 Michael Dobos Canton Veterans Affairs Community based Outpatient Clinic, Canton, OH, USA Abstract: Cystoid macular edema (CME) is characterized by inflammation at the fovea caused by the breakdown of the blood-retinal barrier, resulting in the accumulation of fluid-filled cysts in the outer plexiform and inner nuclear layers of the retina. Physiologically, CME is caused by prostaglandin release, resulting in retinal vasodilation and vasopermeability. The etiology of CME is most often due to a history of ocular surgery or inflammation. Historically, fluorescein angiography has been the main diagnostic test for CME with its distinguishing “flower-petal” pattern. In this case report, optical coherence tomography (OCT) is utilized in the management of CME treated with ocular medication.