PMID- 37974915 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240430 IS - 2474-1272 (Electronic) IS - 2474-1264 (Print) IS - 2474-1264 (Linking) VI - 7 IP - 6 DP - 2023 Nov-Dec TI - Clinical Outcome of Cystoid Macular Edema in Silicone Oil-Filled Eyes. PG - 477-482 LID - 10.1177/24741264231200739 [doi] AB - Purpose: To investigate the clinical outcome of cystoid macular edema (CME) in eyes undergoing silicone oil (SO) tamponade with subsequent SO removal (SOR). Methods: A retrospective case series of adult patients with CME treated with SO tamponade and SOR was conducted between January 2015 and January 2021. Exclusion criteria included eyes with a prior SO tamponade, those that did not undergo SOR, or those with infectious/inflammatory diagnoses. The primary outcomes were the incidence and resolution rates of CME in eyes with SO tamponade that had undergone SOR. The secondary outcomes included changes in best-corrected visual acuity (BCVA) and central field thickness (CFT). Results: Nineteen eyes of 19 patients (58% men) aged 52 years (interquartile range [IQR], 45-66 years) met the study inclusion criteria. The median (IQR) follow-up duration post SOR was 22 (8-35) months. The mean CFT decline for the CME-resolved cases was 13.1 microm/mo (P = .257). CME resolved in only 10 eyes (53%), 7 (67%) of which occurred after SOR. The median (IQR) BCVA was 20/400 (20/200 to 20/1262) at CME diagnosis and 20/796 (20/252 to hand motions) after SOR, with 0.184 worsening in logMAR BCVA (P = .340). Medical treatment was not associated with CME resolution compared with observation (50% vs 89%, respectively; P = .069). Eyes with proliferative vitreoretinopathy (PVR) had a higher rate of persistent CME compared with eyes with other diagnoses (78% vs 10%, respectively; P = .005). Conclusions: Nearly half had nonresolution of CME after SO was removed. The VA at the last follow-up was unaffected by CME resolution. Preoperative PVR may be a risk factor for unresolved CME. CI - (c) The Author(s) 2023. FAU - Shaheen, Abdulla AU - Shaheen A AUID- ORCID: 0000-0003-4448-2104 AD - Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA. FAU - Lai, James AU - Lai J AD - Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA. FAU - Magraner, Maria AU - Magraner M AD - Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA. FAU - Ashkenazy, Noy AU - Ashkenazy N AD - Department of Ophthalmology, UT Southwestern Medical Center, Dallas, TX, USA. FAU - Flynn, Harry W Jr AU - Flynn HW Jr AUID- ORCID: 0000-0002-9990-7467 AD - Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA. FAU - Sridhar, Jayanth AU - Sridhar J AD - Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA. FAU - Yannuzzi, Nicolas A AU - Yannuzzi NA AD - Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA. LA - eng GR - UL1 TR002736/TR/NCATS NIH HHS/United States GR - UM1 TR004556/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20230929 PL - United States TA - J Vitreoretin Dis JT - Journal of vitreoretinal diseases JID - 101700301 PMC - PMC10649453 OTO - NOTNLM OT - cystoid macular edema OT - pars plana vitrectomy OT - proliferative vitreoretinopathy OT - retinal detachment OT - silicone oil OT - visual acuity COIS- The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/11/17 15:30 MHDA- 2023/11/17 15:31 PMCR- 2024/09/29 CRDT- 2023/11/17 03:55 PHST- 2024/09/29 00:00 [pmc-release] PHST- 2023/11/17 15:31 [medline] PHST- 2023/11/17 15:30 [pubmed] PHST- 2023/11/17 03:55 [entrez] AID - 10.1177_24741264231200739 [pii] AID - 10.1177/24741264231200739 [doi] PST - epublish SO - J Vitreoretin Dis. 2023 Sep 29;7(6):477-482. doi: 10.1177/24741264231200739. eCollection 2023 Nov-Dec.