Macular cystoid edema in eyes with secondary glaucoma after surgery

The authors a case of a 53 year old patient who has been under observation of the Ophthalmologic Department from lassy Railway Hospital since September 2000. The the diagnosis was on both eyes: Operate Inflammatory Secondary Glaucoma. Incipient Cataract. Anterior Uveiti Sechelae. Cicatricial Corioretinitis. In January 2001 this patient came in our clinic on the right eye with acute decrease of visual acuity from 1/6 to 1/25 on white, unpainful eye, with marked ocular hipotony. The suspected etiologic diagnosis was initially RE: Intermediate Uveitis. After local and general treatment with corticosteroid antiinflammatory agents the inflammatory phenomena was decreased but the visual acuity remained unchanged. After that we suspected macular cystoid edema. The cause of the visual acuity decrease remains obscure and this case underlines the difficulties meeting on the therapeutic management of the glaucoma on an eye with numerous associated diseases.