Request. I write from Molise, in the Termoli area and I find your articles very interesting and professional. I also have a problem with the macula. I had an operation in February to restore the blurred visual field in the upper part, but I still have problems with my retina. Specifically, there is a macular edema treated with eye drops but with poor results. Consequently, on the advice of my trusted ophthalmologist, I performed an intravitreal puncture. There has been a slight improvement, but it is still not in the best condition. I avoid making efforts to avoid pressure problems in the eyeball as the edema also depends on the enlargement of the veins below the macula. I am still in care and subject to periodic checks. I wanted your opinion on the development of the disease, on the possible recovery or net improvement of the situation.
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Answer. Post-surgical macular edema is the result of the accumulation of fluid in the retina. This is a possible consequence of inflammation. It usually manifests itself between 20 days and 6 months after surgery, as central visual fogging and loss, sometimes associated with image deformation. For the diagnosis, in addition to a complete eye examination with fundus examination, it may be necessary to perform some instrumental investigations. The aim of the treatment is to reduce intraocular inflammation. The first approach is represented by topical therapy, using anti-inflammatory eye drops, which will last a few weeks. In cases where the edema is resistant or relapses after the interruption of therapy, it is necessary to use more invasive methods. These consist of injecting drugs into the eye (intravitreal injection). Recourse to vitreoretinal surgery is rare and reserved for carefully selected cases. The long-term outcome is positive in most cases.
* full professor Department of Neuroscience, Imaging and Clinical Sciences, University “G.d’Annunzio” of Chieti-breaking latest news
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