Cystoid macular edema (CME) occurs when abnormal fluid accumulates in the macula which is located in the center of the retina. This results in retinal thickening and the presence of cyst-like fluid collections that distort the normal retinal architecture and can impact vision. Our board-certified retina specialists at Retina Consultants of Houston are experienced in providing customized care for patients with CME, using a variety of targeted treatments.
Causes and Symptoms
Cystoid macular edema (CME) has many different causes, including:
It commonly occurs after eye surgery. This is likely related to inflammation. About one to three percent of all cataract surgery patients will experience decreased vision due to CME, usually within a few months of surgery.
The most common symptoms of CME include:
• Blurred or distorted central vision
• Dim vision
• Decreased sensitivity to light
Sometimes patients with cystoid macular edema experience no symptoms at all.
"Mine was, more or less, an urgent situation, so I was very lucky to be able to see her. She had a staff who did the photos/preliminary exams and they were excellent. When I saw her, she had all the results. The news was good and she gave me all the info I needed. To me, time spent was not relevant, as she gave me all the time I needed to ask questions. Since the news was good, I had very few questions."- F.A. / Healthgrades / Oct 06, 2018
"Five Stars - My husband and I have been Dr Kim’s patient for over 17 years. She is a compassionate, knowledgeable, detailed oriented doctor with excellent bedside manner. She had saved my husband’s vision from macular degeneration. We all love her and will be her faithful patients forever."- Anonymous / Vitals / Jul 19, 2018
"For the last three years I've been treated by the Retina Consultants of Houston at the Sugar Land location and have been extremely satisfied with the very professional, courteous staff and Dr. Chen. When at the office in the waiting rooms I've spoken with numerous other patients who have all had the same comments of satisfaction. My observations have always been that the staff and doctors work hard to keep patients waiting time at a minimum, while maintaining the excellent quality of care. I would not go any where else."- S.R. / Google / Jun 22, 2018
"Dr. Brown is an excellent surgeon. If you want the best, you have to make a sacrifice. I have been a patient of Dr. Brown, for decades, and I would recommend him to anyone. I would be completely blind if not for Dr. Brown, and God, the Most Holy of Holy."- M.S. / Healthgrades / May 16, 2018
"My left retina had tear in it and I had no clue of what was happening, but was referred to the Retina Consultants of Houston and was blessed with meeting Dr. Wykoff. He repaired my eye while explaining everything in detail and helping me to feel comfortable. Less than a year later my right eye did the same thing but a little worse. Nowadays, I will only let Dr. Wykoff work on me. I am seeing great today and at 58 have zero floaters, etc. This Doctor is the best."- C.P. / Google / Mar 16, 2018
Your Retina Consultants of Houston physician may obtain multiple types of ocular imaging, including photography, ocular coherence tomography (OCT) and fluorescein angiography (FA) to facilitate diagnosis and treatment of your cystoid macular edema (CME). This includes addressing the underlying cause of your CME.
Treatment and Prognosis
Depending on the cause of your cystoid macular edema (CME), treatment may include some of the following:
• Anti-inflammatory medications, including steroid and/or non-steroidal anti-inflammatory medications in the form of eye drops, pills, or injections
• Intravitreal injections of anti-vascular endothelial growth factor (anti-VEGF) medication like Avastin, Eylea or Lucentis
• Surgery such as vitrectomy
• Laser therapy
Diabetes, high blood pressure, and poorly controlled cholesterol can make cystoid macular edema worse and more difficult to treat. These cardiovascular risk factors should be optimally controlled under the guidance of your primary care physician.
Fortunately, most patients with CME can be successfully treated, and vision often improves, although the healing process can be slow and take several months.
Treatment and Prognosis
A patient's CME treatment will be personalized based on the extent of their conditions and the severity of their symptoms. Beginning with addressing the underlying cause of CME, your doctor will determine how best to treat both CME and the symptoms associated with the condition.
Depending on the cause of CME, treatment may include some of the following:
- Anti-inflammatory medications including steroid and/or non-steroidal anti-inflammatory medications in the form of eye drops, pills, or injections
- Intravitreal injections of anti-vascular endothelial growth factor medication
- Surgery such as vitrectomy (to remove the vitreous gel)
- Laser therapy
While each patient's results and prognosis are entirely unique, CME can often be treated with great success, often restoring and even improving the vision of the patient.
Plan Your Procedure
If you suspect that you may be suffering from CME, or would like more information on the condition, we invite you to contact Retina Consultants of Houston at your earliest convenience. Fortunately, most patients with CME can be successfully treated and vision often improves, although the healing process can be slow and take several months. Our skilled staff and highly advanced technology assist us in the diagnosis and treatment of CME with optimum results and successful outcomes. Deteriorating vision should not be something you live with. Call us today to schedule your consultation.