Treatment of cystoid macular edema after cataract surgery

被引：25

作者：

Wielders, Laura H. P. ^{[1
]}

Schouten, Jan S. A. G. ^{[1
]}

Aberle, Merel R. ^{[1
]}

Lambermont, Verena A. ^{[1
]}

van den Biggelaar, Frank J. H. M. ^{[1
]}

Winkens, Bjorn ^{[2
]}

Simons, Rob W. P. ^{[1
]}

Nuijts, Rudy M. M. A. ^{[1
]}

机构：

[1] Maastricht Univ, Med Ctr, Univ Eye Clin Maastricht, POB 5800, NL-6202 AZ Maastricht, Netherlands

[2] Maastricht Univ, Dept Methodol & Stat, Maastricht, Netherlands

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 2017年 / 43卷 / 02期

关键词：

INTRAVITREAL BEVACIZUMAB; KETOROLAC TROMETHAMINE; COMBINATION THERAPY; EFFICACY; NSAIDS;

D O I：

10.1016/j.jcrs.2016.06.041

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

The purpose of this review was to determine the optimum pharmacologic treatment for cystoid macular edema (CME) after cataract surgery in nondiabetic and diabetic patients. The Cochrane Library, Medline, and Embase databases were searched, and all randomized controlled trials (RCTs) that compared at least 2 pharmacologic strategies for,CME after cataract surgery were included. Studies were excluded if preoperative CME or other risk factors for developing CME postoperatively were present. Ten RCTs were included in the systematic review. Five trials included at least 30 participants. Three RCTs showed a greater visual acuity improvement in patients treated with topical nonsteroidal antiinflammatory drugs (NSAIDs) than with a placebo. Other studies comparing the efficacy of topical NSAIDs, topical corticosteroids, sub-Tenon corticosteroids, oral NSAIDs, and oral acetazolamide did not report significant differences between treatment groups. Therefore, large RCTs are needed to provide evidence-based recommendations for the optimum treatment of CME after cataract surgery.

引用

页码：276 / 284

页数：9

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