Question
Sir,
A week ago I noticed that a blurriness with my left eye. I consulted with a doctor here. He said that its Macular Edema and there is no medication available except Laser. Also he told me that most of such cases would heal by itself within 6 weeks to 3 months.
What should i do with this? Is there any treatment other than Laser? If yes, please let me know how long it will take to complete the medication.
Thanks
Answer
Thanks for your Question
There are many causes of macular edema. To treat it correctly we should know its cause.
Main causes of macular edema are:
1- Diabetic Retinopathy.
2- Retinal veins occlusion.
3- After cataract surgery.
4- Low intraocular pressure or hypotony.
5- Age- related macular degeneration.
6- Intraocular inflammation of Uveitis.
7- Medications.
Years ago, the main option to treat macular edema due to Diabetic retinopathy, Age related macular degeneration and retinal veins occlusions was laser.
Nowadays a new intraocular or intravitreal injections of corticosteroid and Anti-VEGF (Lucentis and Avastin) can be used to treat macular edema in these diseases.The outcomes are much better than Laser treatment.
OCT (Optical Coherence Tomography) images should be used in the diagnosis of the macular edema and follow up of treatment to measure the thickness of the macular area.
Corticosteroid eye drops can also be used in treatment of macular edema caused by cataract surgery but the outcomes are not that good.
Periocular corticosteroid injections can also be used in certain diseases.
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