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Case Reports
. 1999 Sep;25(9):1286-8.
doi: 10.1016/s0886-3350(99)00159-5.

Pseudophakic cystoid macular edema treated with high-dose intravenous methylprednisolone

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Case Reports

Pseudophakic cystoid macular edema treated with high-dose intravenous methylprednisolone

T Abe et al. J Cataract Refract Surg. 1999 Sep.

Abstract

Purpose: To evaluate the efficacy of high-dose methylprednisolone in the treatment of pseudophakic cystoid macular edema (CME).

Setting: University-affiliated hospital.

Methods: Four patients with pseudophakic CME who reported decreased visual acuities were treated with oral prednisolone (20 mg daily for 5 days), oral acetazolamide (500 mg daily for 5 days), and topical dexamethasone 0.1% and diclofenac 0.1% (4 times a day for 14 days). The CME did not resolve. Next, they were treated with high-dose (1000 mg daily) intravenous methylprednisolone for 3 days.

Results: In 3 of 4 eyes, the CME resolved and visual acuity improved.

Conclusion: High-dose methylprednisolone may be effective in the treatment of pseudophakic CME.

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