Posterior Segment
Pseudophakic Cystoid Macular Oedema
Also known as: Pseudophakic CME, Pseudophakic cystoid macular oedema, Pseudophakic cystoid macular edema, Irvine-Gass syndrome, CME after cataract surgery, macular oedema after cataract surgery, macular edema after cataract surgery, pseudophakic cmo
Filed as: Urgent
Source-cited from the record's own evidence list. Clinical content programme led by Dr Ankit Mathur, PhD, Grad Cert Ocu Thera, B.S. Optom. How the clinical content is governed
Clinical decision support only
Overview
Macular oedema developing in the weeks after cataract surgery, characteristically as vision that improved and then fell away again. The front of the eye can look calmer than the drop in central vision implies, and OCT shows cystoid change where it is available. The timing is the clue, and an eye that is also painful and red in the same window is a different and more urgent problem.
Recognition
Symptoms: what patients report
- Reduced central vision after cataract surgery.
- Blurred vision after an initial period of improvement.
- Post-cataract timing rather than immediate postoperative pain is typical.
Signs: what the examination shows
- Reduced central visual acuity compared with expected postoperative recovery.
- Macular thickening or cystoid change on OCT where available.
- Anterior segment may appear quieter than the degree of central blur would suggest.
What OptoGuide™ covers for pseudophakic cystoid macular oedema
- Pattern reasoning: what this combination of findings points to, and its differentiators
- Don't-miss risks and escalation triggers
- Management tiers with linked Australian therapeutics
- Referral urgency, specialty, and letter drafting
Sources
Standard texts: Kanski's Clinical Ophthalmology: A Systematic Approach, The Wills Eye Manual, Oxford Handbook of Ophthalmology, Oxford American Handbook of Ophthalmology, Signs in Ophthalmology: Causes & Differential Diagnosis.