![]() ![]() In a retrospective study of 1659 cataract surgeries, Henderson et al. ![]() It is uncertain whether the results would have differed if angiographic CME were the endpoint. conducted a study of 139,759 Medicare beneficiaries who underwent modern cataract surgery, and determined that total ophthalmic payments were 47% ($1,092) higher for those who developed pseudophakic CME, compared to those who did not ( P. Furthermore, most patients with clinical CME will experience spontaneous improvement by 3 to 12 months. Most patients with CME found via angiography or OCT will not have visual changes. OCT evidence of CME after small incision phacoemulsification: 4% to 11%, but also reported to be as high as 41%. ![]() Clinical CME after small incision phacoemulsification: 0.1% to 2.35%.Angiographic CME after extracapsular cataract extraction: 15% to 30%.Angiographic CME after intracapsular cataract extraction: As high as 60%.Optical coherence tomography (OCT) definitions have also been proposed.Chronic pseudophakic CME: over 6 months.Acute pseudophakic CME: within 6 months.Clinical pseudophakic CME: associated with decreased visual acuity.Angiographic pseudophakic CME: seen on fluorescein angiography (FA).Gass and Norton subsequently studied the characteristics of the new disease entity with fluorescein angiography. In 1953, Irvine described a cystoid macular edema (CME) that specifically arose after cataract surgery. ICD-10-CM H35.359 Cystoid macular degeneration, unspecified eye ICD-9-CM 362.53 Cystoid macular degeneration, cystoid macular edema 1.1 International Classification of Diseases (ICD)ĭisease Entity International Classification of Diseases (ICD). ![]()
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