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

Arquivos Brasileiros de Oftalmologia

Somaia Mitne²  Augusto Paranhos Júnior¹  Ana Paula Silvério Rodrigues¹  Tércio Guia¹  Arnaldo Bordon¹  Nilva Simeren Bueno De Moraes¹  Michel Eid Farah¹  Pedro Paulo Bonomo¹ 

[1] ,Universidade Federal de São Paulo Pronto Socorro de Oftalmologia

关键词: Macular edema;    cystoid;    Cataract extraction;    Fluorescein angiography;    Tomography;    Comparative study;    Edema macular cistóide;    Extração de catarata;    Angiofluoresceinografia;    Tomografia;    Estudo comparativo;   

DOI  :  10.1590/S0004-27492003000700007

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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