What is CME?
Cystoid macular edema (CME) refers to the formation of areas of cyst-like fluid within the macula, which is located in the center of the retina. The fluid results in inflammation of the retina. CME is a painless disorder that is caused by a number of other eye issues, such as uveitis or retinal vein occlusion, chronic diseases like diabetes, or as a result of cataract surgery. When CME occurs in one eye, that patient has about a 50% likelihood of the condition developing in the other eye. CME can result in blurry and decreased central vision, which affects the ability to drive, read, make out fine detail, and see color sharply. According to Jacksonville retina doctors, Dr. Shawn Agee and Dr. John Sullivan, this condition is painless, so just because there isn’t any pain doesn’t mean that there’s not a problem.
Causes and Symptoms
Even though CME has been around for a number of years, there is a lot that’s unknown about this particular condition. There’s no clear-cut cause for CME, but it doesn’t just occur on its own. The condition is usually attributed to an underlying condition or disease, such as diabetes, vein occlusion, uveitis, or epiretinal membrane. CME can also be caused by a prior cataract surgery. As a result of any of these, areas of cyst-like fluid will appear within the macula, the central portion of the retina.
The most common symptoms of CME are:
- Decreased central vision
- Blurred or distorted vision
"He is a very caring Doctor, he will not milk your insurance, he will not give you unnecessary surgery if you don't need it. I will never trust anyone else with my vision"- M.H. / Healthgrades / Aug 17, 2016
"Recently I had an ongoing issue and was passed around to several ophthalmologists via referral. Finally I ended up in Dr. Sullivan's hands. I will say several women I work with had strongly recommended him, and advised me (combined with having been to an ophthalmology appointment 3 times already in a one month span) that I would wait. The receptionist who confirmed my appointment also reminded me "you can expect to be at the appointment up to 4 hours" so it seems my expectations were a little different than some others. When I finally did get to see Doctor Sullivan (an hour and a half or so after my appointment time) he made an extremely scary situation so much better. He has amazing bedside manner and his delivery is understanding. I was really emotional and he assured me he was confident in his diagnosis and resolution. I left the appointment feeling 100 times better & completely happy I ended up in Dr. Sullivan's hands!"- W.T. / Yelp / Jul 19, 2018
"The staff is awesome. Friendly and always smiling?"- D.B. / Facebook / Jun 21, 2018
"Dr Sullivan was awesome !! I took my sister and he was on top of it right away!! She has a huge mass behind eye!! I would recommend them highly ????"- S.B. / Facebook / Jun 02, 2018
"Goes above and beyond for patients. Very detail oriented. Works well with other Dr if you have multiple eye issues such as glaucoma. There are long wait times in the office but it is well worth it. Dr. Sullivan is the primary Dr at the office but have had to see Dr Agee and he is great too. Highly recommend this office and doctors."- S.V. / Google / May 27, 2018
CME is usually diagnosed by performing a comprehensive eye exam, along with fluorescein angiography, where your doctor will inject a special fluorescent dye into your bloodstream to highlight the blood vessels in the back of the eye. This allows your ophthalmologist to carefully examine your eye for the presence of CME. Your doctor might also decide to use optical coherence tomography (OCT) to take detailed photographs of the retina. OCT can also be used to monitor progression of CME and to show how well treatment is working.
Treatment and Prognosis
Dependent upon the underlying cause of CME is how CME will be treated. It’s critical to treat the cause, as well as CME itself. Inflammation is commonly treated with anti-inflammatory drugs like corticosteroids. They can be in the form of eye drops, pills, or injections. Your doctor could also inject your eye with a class of drugs known as VEGF-inhibitors, which are used to prevent the growth of new blood vessels. In some cases, laser treatment can be used to solve the problem.
When surgery is warranted, a vitrectomy can be performed to remove the vitreous gel in the back of the eye and replace it with a saline solution to stop the strain on the retina.
In most cases, CME can be successfully treated and cured and full vision can be properly restored. More severe cases may not have such successful outcomes and can vary greatly from patient to patient.
Plan Your Procedure
Whether you are seeking a diagnosis, require treatment, or both, we have all of the bases covered with CME. We are equipped to find out the underlying cause and provide possible treatment solutions. Feel free to contact our office to schedule an appointment.