Cystoid macular edema in a low-risk patient after switching from latanoprost to bimatoprost

Am J Ophthalmol. 2004 May;137(5):966-8. doi: 10.1016/j.ajo.2003.11.068.

Abstract

Purpose: To report a case of angiographically documented cystoid macula edema occurring after switching a pseudophakic patient from latanoprost to bimatoprost.

Design: Observational case report.

Methods: A 68-year-old man developed intense conjunctival hyperemia and cystoid macula edema after switching from latanoprost to bimatoprost 9 months after cataract surgery in an eye at low-risk for this cystoid macular edema.

Results: Bimatoprost was discontinued and diclofenac initiated. After 2 months, visual acuity and ocular hyperemia returned to baseline levels. Fundus examination revealed resolution of cystoid macula edema.

Conclusion: It is possible that pseudophakic eyes that develop intense conjunctival hyperemia associated with ocular hypotensive lipids might be at higher risk for developing cystoid macula edema.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Amides
  • Antihypertensive Agents / adverse effects*
  • Bimatoprost
  • Cloprostenol / analogs & derivatives
  • Conjunctiva / blood supply
  • Fluorescein Angiography
  • Glaucoma, Open-Angle / drug therapy
  • Humans
  • Hyperemia / chemically induced
  • Intraocular Pressure / drug effects
  • Latanoprost
  • Lipids / adverse effects*
  • Macular Edema / chemically induced*
  • Macular Edema / diagnosis
  • Macular Edema / physiopathology
  • Male
  • Prostaglandins F, Synthetic / therapeutic use*
  • Pseudophakia / complications
  • Risk Factors

Substances

  • Amides
  • Antihypertensive Agents
  • Lipids
  • Prostaglandins F, Synthetic
  • Cloprostenol
  • Latanoprost
  • Bimatoprost