Cystoid macular edema associated with latanoprost after uncomplicated cataract surgery

Eur J Ophthalmol. 2005 Jan-Feb;15(1):158-61.

Abstract

Purpose: To report clinically symptomatic and angiographically documented cystoid macular edema (CME) associated with the use of latanoprost in two pseudophakic eyes after uncomplicated cataract surgery.

Methods: Retrospective review of two patients who had history of latanoprost use and uncomplicated cataract surgery and described blurred vision in the first postoperative month.

Results: Ocular examination revealed CME, which was confirmed by fluorescein angiography. The visual acuities of patients improved and the CME was angiographically resolved after discontinuation of latanoprost and the initiation of nonsteroidal anti-inflammatory eye-drops and oral acetazolamide.

Conclusions: Until a causal relationship between CME and latanoprost is proved or disproved, caution in its use in pseudophakic patients would be prudent.

Publication types

  • Case Reports

MeSH terms

  • Acetazolamide / therapeutic use
  • Aged
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Antihypertensive Agents / adverse effects*
  • Drug Therapy, Combination
  • Exfoliation Syndrome / drug therapy
  • Female
  • Fluorescein Angiography
  • Glaucoma / drug therapy*
  • Humans
  • Intraocular Pressure / drug effects
  • Latanoprost
  • Lens Implantation, Intraocular
  • Macular Edema / chemically induced*
  • Macular Edema / diagnosis
  • Macular Edema / drug therapy
  • Male
  • Middle Aged
  • Phacoemulsification*
  • Prostaglandins F, Synthetic / adverse effects*
  • Pseudophakia / complications
  • Retrospective Studies

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Antihypertensive Agents
  • Prostaglandins F, Synthetic
  • Latanoprost
  • Acetazolamide