Our Summary
This study reports the successful use of a treatment for a man with a particular eye condition. The 51-year-old man had poor vision in his right eye after surgery to repair a detached retina. His eye was filled with silicone oil, and he had a condition called cystoid macular edema, which is a swelling in the retina of the eye. The man was given an injection of a drug called bevacizumab into the eye. After one week, the swelling in his retina had decreased, and after seven weeks, it was completely gone. His vision improved significantly and remained stable for two months. His vision further improved after the removal of the silicone oil from his eye after three months. This case shows that bevacizumab can be safely and effectively used to treat cystoid macular edema in an eye filled with silicone oil.
FAQs
- What is cystoid macular edema?
- How can bevacizumab treat cystoid macular edema in an eye filled with silicone oil?
- What improvement was seen in the patient’s vision after the treatment with bevacizumab and removal of silicone oil?
Doctor’s Tip
A doctor may advise a patient undergoing vitrectomy to follow all post-operative care instructions to ensure proper healing and recovery. This may include avoiding strenuous activities, taking prescribed medications as directed, attending follow-up appointments, and reporting any unusual symptoms or changes in vision. It is also important for the patient to maintain regular eye exams to monitor the health of the eye and address any potential complications promptly.
Suitable For
Patients who are typically recommended vitrectomy include those with conditions such as retinal detachment, diabetic retinopathy, macular hole, epiretinal membrane, vitreous hemorrhage, and complications from previous eye surgeries. In some cases, vitrectomy may also be recommended for patients with macular edema or other conditions that do not respond to more conservative treatments. Additionally, patients with certain genetic or inherited eye diseases may also benefit from vitrectomy.
Timeline
Before vitrectomy: The patient undergoes surgery to repair a detached retina, resulting in poor vision in the affected eye. Silicone oil is used to fill the eye, leading to the development of cystoid macular edema, causing swelling in the retina.
Week 1 after vitrectomy: The patient receives an injection of bevacizumab into the eye. The swelling in the retina decreases.
Week 7 after vitrectomy: The swelling in the retina is completely gone, and the patient’s vision improves significantly and remains stable for two months.
Month 3 after vitrectomy: The silicone oil is removed from the eye, resulting in further improvement in the patient’s vision.
Overall, the patient experiences a gradual improvement in vision and successful resolution of cystoid macular edema following vitrectomy and treatment with bevacizumab.
What to Ask Your Doctor
- What is a vitrectomy and how does it work?
- What are the potential risks and complications associated with vitrectomy surgery?
- How long is the recovery time after a vitrectomy?
- What is the success rate of vitrectomy in treating conditions like cystoid macular edema?
- Are there any alternative treatments to vitrectomy for my condition?
- How many vitrectomy surgeries have you performed and what is your success rate?
- What should I expect during the recovery process after vitrectomy surgery?
- Will I need any follow-up appointments or additional treatments after the surgery?
- What are the potential long-term effects of vitrectomy surgery on my vision?
- Are there any lifestyle changes or precautions I should take after undergoing vitrectomy surgery?
Reference
Authors: Lambat SP, Bajoria SL, Nangia VB, Nangia PV, Mishra SD, Shah NH. Journal: Retin Cases Brief Rep. 2022 Sep 1;16(5):569-571. doi: 10.1097/ICB.0000000000001057. PMID: 32976230