Sagnik Sen, MD, MRCSEd | Image Credit: LinkedIn

Findings from a recent study suggest eyes with retinal vein occlusion (RVO) with previous cystoid macular edema (CME) requiring intravitreal treatment are at substantial risk of postoperative macular edema (PME) after uneventful cataract surgery. Of note, this risk increases significantly in patients with diabetes.1
Although PME rates have largely been reduced due to modern phacoemulsification techniques, patients with diabetes still have a substantial risk of developing postoperative enema, as well as the greatest challenges in terms of treatment and prophylaxis. Patients fitting these criteria tend to have been excluded from existing studies of postoperative PME.2
“Patients with RVO need to be counseled carefully regarding outcomes of cataract surgery; also, the…