Bilateral and symmetric postoperative cystoid macular edema in a patient with macular telangiectasia type 2 after uneventful subsequent phacoemulsification procedures

This is a case of bilateral and symmetric postoperative pseudophakic cystoid macular edema (CME) in a patient with macular telangiectasia type 2 after uneventful subsequent cataract surgeries. An 80-year-old woman with a history of macular telangiectasia type 2 had uneventful phacoemulsification procedures and I developed pseudophakic CME during the early postoperative periods, remarkably symmetric in both eyes. The CME responded well to treatment with topical antiinflammatory drops (combination of steroids and nonsteroidai antiinflammatory drugs [NSAIDs] prescribed for the right eye and NSAIDs only for the left eye), and the edema resolved after some months. To our knowledge, this is the first case that describes bilateral pseudophakic CME in macular telangiectasia type 2 and highlights the specific retinal condition as a possible additional risk factor for developing postoperative CME after phacoemulsification. (C) 2019 ASCRS and ESCRS