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Strong topical steroid, NSAID, and carbonic anhydrase inhibitor cocktail for treatment of cystoid macular edema

PURPOSE: To report the combination cocktail of strong steroid, non-steroidal anti-inflammatory drug (NSAID), and carbonic anhydrase inhibitor drops for treatment of cystoid macular edema. METHODS: This is a retrospective case series of patients with cystoid macular edema managed with a topical combi...

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Autores principales: Asahi, Masumi G, Bobarnac Dogaru, Gabriela L, Onishi, Spencer M, Gallemore, Ron P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671768/
https://www.ncbi.nlm.nih.gov/pubmed/26664246
http://dx.doi.org/10.2147/IMCRJ.S92794
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author Asahi, Masumi G
Bobarnac Dogaru, Gabriela L
Onishi, Spencer M
Gallemore, Ron P
author_facet Asahi, Masumi G
Bobarnac Dogaru, Gabriela L
Onishi, Spencer M
Gallemore, Ron P
author_sort Asahi, Masumi G
collection PubMed
description PURPOSE: To report the combination cocktail of strong steroid, non-steroidal anti-inflammatory drug (NSAID), and carbonic anhydrase inhibitor drops for treatment of cystoid macular edema. METHODS: This is a retrospective case series of patients with cystoid macular edema managed with a topical combination of strong steroid (difluprednate), NSAID, and carbonic anhydrase inhibitor drops. The patients were followed with optical coherence tomography and fluorescein angiography. RESULTS: In our six cases, resolution of the cystic edema with improvement in visual acuity was achieved with the use of a combination cocktail of drops. Leakage on fluorescein angiography and cystic edema on optical coherence tomography both responded to treatment with the topical cocktail of drops. CONCLUSION: A topical cocktail of strong steroid, NSAID, and carbonic anhydrase inhibitor drops are effective for managing cystoid macular edema. Further studies comparing this combination with more invasive treatments should be undertaken to determine the efficacy of this cocktail over other treatment options.
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spelling pubmed-46717682015-12-09 Strong topical steroid, NSAID, and carbonic anhydrase inhibitor cocktail for treatment of cystoid macular edema Asahi, Masumi G Bobarnac Dogaru, Gabriela L Onishi, Spencer M Gallemore, Ron P Int Med Case Rep J Case Series PURPOSE: To report the combination cocktail of strong steroid, non-steroidal anti-inflammatory drug (NSAID), and carbonic anhydrase inhibitor drops for treatment of cystoid macular edema. METHODS: This is a retrospective case series of patients with cystoid macular edema managed with a topical combination of strong steroid (difluprednate), NSAID, and carbonic anhydrase inhibitor drops. The patients were followed with optical coherence tomography and fluorescein angiography. RESULTS: In our six cases, resolution of the cystic edema with improvement in visual acuity was achieved with the use of a combination cocktail of drops. Leakage on fluorescein angiography and cystic edema on optical coherence tomography both responded to treatment with the topical cocktail of drops. CONCLUSION: A topical cocktail of strong steroid, NSAID, and carbonic anhydrase inhibitor drops are effective for managing cystoid macular edema. Further studies comparing this combination with more invasive treatments should be undertaken to determine the efficacy of this cocktail over other treatment options. Dove Medical Press 2015-12-01 /pmc/articles/PMC4671768/ /pubmed/26664246 http://dx.doi.org/10.2147/IMCRJ.S92794 Text en © 2015 Asahi et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Series
Asahi, Masumi G
Bobarnac Dogaru, Gabriela L
Onishi, Spencer M
Gallemore, Ron P
Strong topical steroid, NSAID, and carbonic anhydrase inhibitor cocktail for treatment of cystoid macular edema
title Strong topical steroid, NSAID, and carbonic anhydrase inhibitor cocktail for treatment of cystoid macular edema
title_full Strong topical steroid, NSAID, and carbonic anhydrase inhibitor cocktail for treatment of cystoid macular edema
title_fullStr Strong topical steroid, NSAID, and carbonic anhydrase inhibitor cocktail for treatment of cystoid macular edema
title_full_unstemmed Strong topical steroid, NSAID, and carbonic anhydrase inhibitor cocktail for treatment of cystoid macular edema
title_short Strong topical steroid, NSAID, and carbonic anhydrase inhibitor cocktail for treatment of cystoid macular edema
title_sort strong topical steroid, nsaid, and carbonic anhydrase inhibitor cocktail for treatment of cystoid macular edema
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671768/
https://www.ncbi.nlm.nih.gov/pubmed/26664246
http://dx.doi.org/10.2147/IMCRJ.S92794
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