Risk factors and incidence of Macular Edema in eyes with retinal Vein Occlusion after uneventful cataract surgery: The MEVO study

The study demonstrates that RVO eyes with previous CME requiring intravitreal treatment are at significant risk of postoperative macular edema after uneventful cataract surgery, and this risk increases in people with diabetes. The incidence is not affected by the type of RVO. Considering almost 2/3 rd of PME developed within the 1 st month of surgery, we recommend a routine OCT scan as a part of postoperative assessment at the 1 st visit after surgery, in eyes at risk. Eyes developing PME may have poorer visual outcomes, especially eyes with CRVO; hence, patients need to be counseled carefully regarding outcomes of cataract surgery. The outcomes might depend on the previous treatment course they have received, and they may need to undergo a repeat cycle of treatment due to a risk of return of macular edema.

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Publication Details

Journal
Indian Journal of Ophthalmology
Published
2025-04-17
DOI
https://doi.org/10.4103/ijo.ijo_1700_24
Citations
2
Primary Topic
Retinal Diseases and Treatments
Type
article
Field-Weighted Citation Impact
3.41
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article

Risk factors and incidence of Macular Edema in eyes with retinal Vein Occlusion after uneventful cataract surgery: The MEVO study

Muthukrishnan Vallinayagam, Rachana Mallidi, C. Chandrasekar, Naresh Babu et al.
2 citations
Indian Journal of Ophthalmology
Retinal Diseases and Treatments
3.41
article

Risk factors and incidence of Macular Edema in eyes with retinal Vein Occlusion after uneventful cataract surgery: The MEVO study

Muthukrishnan Vallinayagam, Rachana Mallidi, C. Chandrasekar, Naresh Babu, Karthik Kumar, Madhu Shekhar, Renu P. Rajan, Sourav Damodaran, Sagnik Sen, Prithviraj Udaya, Kim Ramasamy
article en
2 citations

Abstract

The study demonstrates that RVO eyes with previous CME requiring intravitreal treatment are at significant risk of postoperative macular edema after uneventful cataract surgery, and this risk increases in people with diabetes. The incidence is not affected by the type of RVO. Considering almost 2/3 rd of PME developed within the 1 st month of surgery, we recommend a routine OCT scan as a part of postoperative assessment at the 1 st visit after surgery, in eyes at risk. Eyes developing PME may have poorer visual outcomes, especially eyes with CRVO; hence, patients need to be counseled carefully regarding outcomes of cataract surgery. The outcomes might depend on the previous treatment course they have received, and they may need to undergo a repeat cycle of treatment due to a risk of return of macular edema.

Indian Journal of OphthalmologyVol. 73(6)
St Thomas' Hospital (GB), Aravind Eye Hospital (IN), Moorfields Eye Hospital (GB), University College London (GB)
No poverty
Openalex Percentile: Top 9%
Retinal Diseases and Treatments
3.41
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