Macular Edema

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What it is: Swelling of the macula (the central retina) caused by leaky blood vessels.
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Who it affects: Common in people with diabetes, retinal vein occlusions, uveitis, or after certain eye surgeries.
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Symptoms:
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Blurred or wavy central vision
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Colors appearing washed out
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Difficulty with reading or detailed tasks
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Treatments:
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Prescription eye drops to reduce inflammation
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Eye injections to reduce swelling and stop leakage
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Laser treatment in select cases
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Oral medications are sometimes prescribed, especially if both eyes are affected
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Management of underlying conditions (such as diabetes, high blood pressure, or inflammation)
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Warning signs: Any sudden vision change, distortion, or blurring should be evaluated quickly.
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Visual distortion from macular edema can be due to a variety of causes. If you are having blurry and distorted vision, contact us for an evaluation today to get your problem diagnosed and begin treatment right away.
Frequently Asked Questions
Q: How is macular edema different from macular degeneration?
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Macular edema refers to swelling caused by fluid leakage, while macular degeneration involves degenerative changes in the macula. Although both affect central vision, they have different causes, treatments, and prognoses.
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Q: Is macular edema an emergency?
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Macular edema is not always an emergency, but prompt evaluation is important, especially if vision changes occur suddenly. Early diagnosis allows treatment to begin before permanent damage to the macula develops.
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Q: Can macular edema be missed on a routine eye exam?
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Yes. Mild macular edema may not be obvious without advanced imaging. OCT is critical for detecting subtle or early swelling that may not be visible on routine examination alone.
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Q: Does macular edema always require treatment?
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Not always. Some mild cases may resolve with observation or treatment of the underlying cause. However, persistent or vision-threatening macular edema often requires targeted therapy to reduce swelling and preserve vision.
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Q: How often should macular edema be monitored?
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Monitoring frequency depends on the severity and cause of the edema. Patients undergoing treatment may need frequent visits, while stable cases may be monitored at longer intervals using OCT imaging.
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Q: Why is early diagnosis of macular edema important?
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Early diagnosis allows treatment to be started before prolonged swelling causes irreversible damage to the macula. Timely management improves the likelihood of visual recovery and long-term stability.

