Agreement between optical coherence tomography and fundus fluorescein angiography in post-cataract surgery cystoid macular edema

PURPOSE: To evaluate the agreement between optical coherence tomography (OCT) and fundus fluorescein angiography (FFA) regarding the detection of cystoid macular edema (CME) following cataract surgery. METHODS: Retrospective comparative observational series of 25 eyes with suspected CME. Patients wi...

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Detalles Bibliográficos
Autores: Mitne, Somaia [UNIFESP], Paranhos Junior, Augusto [UNIFESP], Rodrigues, Ana Paula Silvério [UNIFESP], Guia, Tércio [UNIFESP], Bordon, Arnaldo [UNIFESP], Moraes, Nilva Simeren Bueno de [UNIFESP], Farah, Michel Eid [UNIFESP], Bonomo, Pedro Paulo [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2003
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/1927
Acceso en línea:http://dx.doi.org/10.1590/S0004-27492003000700007
http://repositorio.unifesp.br/handle/11600/1927
Access Level:acceso abierto
Palabra clave:Macular edema, cystoid
Cataract extraction
Fluorescein angiography
Tomography
Comparative study
Edema macular cistóide
Extração de catarata
Angiofluoresceinografia
Tomografia
Estudo comparativo
Descripción
Sumario:PURPOSE: To evaluate the agreement between optical coherence tomography (OCT) and fundus fluorescein angiography (FFA) regarding the detection of cystoid macular edema (CME) following cataract surgery. METHODS: Retrospective comparative observational series of 25 eyes with suspected CME. Patients with low visual acuity and alterations in fundus biomicroscopy after cataract surgery underwent OCT scanning followed by FFA on the same visit. The diagnosis of CME was established considering fluorescein leakage on FFA and retinal thickness and/or cystoid spaces and/or subretinal fluid on OCT. RESULTS: Twenty-five eyes of 25 patients were enrolled. Twenty-two eyes had similar results on both OCT and FFA, of which 15 eyes had CME and 7 eyes had no CME. Two eyes had CME detected only by FFA and one eye only by OCT. The agreement between the two examinations was good (Kappa = 0.7331; p=0.0001) with no tendency to have neither more positive nor negative findings (p=1.0). CONCLUSION: According to these preliminary data, OCT seems to be as effective as FFA to detect CME with a good agreement between the two techniques.

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