Kejadian Edema Sistoid Makula Paska Operasi Katarak Dengan Pemeriksaan Optical Coherence Tomography di RSUP. H. Adam Malik Medan dan RSUD. dr. Pirngadi Medan

Abstract

Background : The term Irvine-Gass syndrome is used for CME following cataract surgery. Optical coherence tomography (OCT) findings of CME include diffuse retinal thickening with cystic areas of low reflectivity (reduced reflectivity) more prominently in the inner nuclear and outer plexiform layers. Purpose : To identify the incidence of cystoid macular edema (CME) after cataract surgery and to describe factors that could potentially cause cystoid macular edema (CME) after cataract surgery with optical coherence tomography (OCT) examination in Adam Malik and Pirngadi Hospital. Methods : This study was a descriptive observational prospective. Cystoid macular edema (CME) after cataract surgery was measured with optical coherence tomography (OCT). Result : It was not found cystoid macular edema (CME) after cataract surgery. There was a significant difference of mean macular thickness by type of surgery. There was a increase in mean macular thickness of the operated eyes with ECCE in iris trauma and retained lens fragment. There was no a significant difference of mean macular thickness by age, patients with hipertension or diabetes mellitus. Conclusion : No found cystoid macular edema (CME) after cataract surgery likely caused not encountered factors that could potentially cause cystoid macular edema (CME) after cataract surgery such as the absence of postoperative COA inflammation, posterior capsule rupture, placement of IOL in posterior chamber and patients receiving of prophylaxis eye drops.

Latar Belakang : Edema sistoid makula paska operasi katarak atau Irvine-Gass syndrome adalah cystoid macular edema (CME) yang timbul setelah operasi katarak. Optical coherence tomography (OCT) akan memperlihatkan gambaran penebalan retina yang luas disertai gambaran kista (low reflectivity) pada lapisan inner nuclear dan outer plexiform layers. Tujuan : Untuk mengetahui kejadian edema sistoid makula paska operasi katarak dan memberikan gambaran faktor yang berpotensi menyebabkan timbulnya dengan pemeriksaan optical coherence tomography (OCT) di RSUP. H. Adam Malik Medan dan RSUD. Dr Pirngadi Medan. Metode : Penelitian bersifat deskriptif observasional yang prospektif. Edema sistoid makula paska operasi katarak diperiksa dengan Optical Coherence Tomography (OCT). Hasil Penelitian :. Tidak dijumpai adanya edema sistoid makula paska operasi katarak. Dijumpai adanya perbedaan signifikan rata-rata ketebalan makula paska operasi katarak berdasarkan jenis operasi. Dijumpai adanya peningkatan rata-rata ketebalan makula pada operasi katarak teknik ECCE dengan trauma iris dan sisa korteks lensa. Tidak ada perbedaan signifikan rata-rata ketebalan makula paska operasi katarak berdasarkan umur, riwayat hipertensi dan diabetes melitus. Kesimpulan : Tidak dijumpai adanya CME paska operasi katarak kemungkinan disebabkan tidak dijumpainya faktor yang berpotensi menyebabkan CME paska operasi katarak seperti tidak adanya peradangan COA paska operasi, tidak adanya robekan kapsul posterior, letak IOL pada posterior chamber serta adanya pemberian tetes mata prophylaksis.