What medicine is effective for yellow spots and edema

Macular edema is very harmful to human vision and is a type of macular disease. At this time, patients should undergo an ophthalmological examination in time. After the cause is determined, targeted treatment should be carried out. If it is mild macular edema, conservative treatment can be carried out by taking some blood-activating and blood-stasis-removing drugs. Of course, if the disease is more serious, laser photocoagulation treatment may be required at this time. Pay attention to eye health at ordinary times.

Differential Diagnosis

1. Central serous chorioretinopathy

It is more common in young and middle-aged men, with serous discoid shallow retinal detachment and/or serous retinal pigment epithelial (RPE) detachment in the macula, which is self-limited and tends to recur. Fluorescence angiography shows RPE leakage points and/or serous RPE detachment; the fluorescence angiography of cystoid macular edema is petal-shaped accumulation of fluorescent dye in the macular area.

2. Intraocular tumors

Whether benign or malignant tumors, especially choroidal hemangiomas, are often accompanied by shallow retinal detachment in the macular area and/or cystoid macular edema. Detailed examination of the fundus with a binocular indirect ophthalmoscope can avoid misdiagnosis and treatment errors.

3. Central retinal artery occlusion

This is an emergency case with the chief complaint of sudden vision loss, cherry red spots on the macula of the fundus, and milky swelling of the posterior pole retina. This is swelling of the cells themselves and fluid accumulation in the cells. Fluorescent angiography can show obstruction or insufficiency of blood supply to the central retinal artery, non-filling or slow filling of the artery, or prolonged circulation time. Fluorescent angiography and CME have completely different characteristics and are easy to distinguish.

examine

1. Medical history

Whether there is a recent history of intraocular surgery, history of diabetes, previous uveitis or eye infection, family history of night blindness or eye disease, and history of medication, including topical use of epinephrine, dipivefrin and other drugs.

2. Eye examination

This includes assessment of the peripheral fundus (which requires compression of the sclera to examine the periphery). The macula is best examined with a slit lamp in combination with a three-mirror, front mirror, or 60/90D lens.

3. Fundus fluorescein angiography

It often shows fluorescent leakage of perifoveal capillaries in the early stage and fluorescent staining of the macula in the late stage, typically in a petal or spoke shape.

4. Retinal optical coherence tomography examination

It helps to diagnose and determine whether lamellar and full-thickness fissures are formed.

5. Other examinations

Other diagnostic tests, such as rapid blood glucose test, glucose tolerance test, and ERG, may be performed if indicated.