Treatment is aimed at the underlying etiology.
Medical treatment modalities include the following:
Corticosteroids directly inhibit the enzyme phospholipase, blocking the formation of prostaglandins. Corticosteroids can be administered topically or orally or they can also be injected intravitreally (off-label use) or injected into the sub-Tenon space. However, corticosteroids have many systemic and ocular adverse effects such as glaucoma, and some patients become intolerant to them as a result.
NSAIDs inhibit the enzyme cyclooxygenase and are commonly employed in the prevention and treatment of CME. They are usually administered topically for approximately 3-4 months and on an as-needed basis.
Carbonic anhydrase inhibitors (CAIs), such as acetazolamide
, enhance the pumping action of RPE cells, facilitating the transport of fluid across the RPE and help CME.
When vitreous strands are present at the corneal section as a result of cataract surgery then YAG YAG laser lysis of the vitreous strands has been used with some success. Sometimes surgery i.e. pars plana vitrectomy may have to be done. Thanks.
Please, click the ACCEPT BUTTON so that I can get my dues. BONUS and a POSITIVE FEEDBACK will be appreciated.