Cystoid macular oedema is a condition where fluid builds up in the centre of the retina (the macula), causing it to swell.
This swelling can make vision blurry, distorted, or less sharp, especially for reading and seeing fine details.
It often happens after eye surgery or with certain eye diseases and is usually treatable once the cause is addressed.
The disorder is diagnosed with specialist assessment and optical coherence tomography (OCT) scan.
Cystoid macular oedema (CMO) is caused by leakage of fluid from tiny blood vessels in the retina, usually due to inflammation or damage.
After eye surgery, especially cataract surgery
Inflammation inside the eye (uveitis)
Diabetes-related eye disease (Also known as diabetic macular oedema)
Blocked retinal veins
Certain eye conditions (retinitis pigmentosa) or medications(Fingolimod, paclitaxel, and tamoxifen)
Treatment for cystoid macular oedema (CMO) aims to reduce swelling and stop fluid leakage, and it depends on the underlying cause.
Common treatments include:
Anti-inflammatory eye drops (steroid or non-steroidal), especially after surgery
Steroid injections or implants inside or around the eye to reduce inflammation
Anti-VEGF injections to reduce blood vessel leakage (for retinal vein occlusion and diabetes associated causes)
Most patients improve with treatment, especially when CMO is diagnosed early.
Post-surgery cystoid macular odema happens in approximately 3 - 5% of cataract surgeries. Patients with retinal pathology (diabetes, retinal vein occlusion, epiretinal membrane), and complicated surgeries are at a higher risk of this.
The first-line treatment is a combination of topical steroid and non-steroid eye drops.
Prednisolone 1% (PredForte) four times a day
Diclofenac 0.1% (Voltaren) four times a day
The treatment duration will be advised by your surgeon.