A 61-year-old white man was referred to the University of Minnesota Department of Ophthalmology with a diagnosis of cystoid macular edema (CME) following bilateral cataract surgery 2 months prior. Chorioretinal folds and CME were present on fundus examination and optical coherence tomography (OCT). His past medical history included diabetes mellitus for 18 years, hypertension for 5 years, and heart disease with bypass surgery. His most recent glycosylated hemoglobin test (HbA1C) was 8.3 (normal, <5.7%). The patient reported improvement in visual acuity without correction after surgery with no flashes or floaters.
His preoperative refraction was +7.00 +2.50 ×180 correcting to 20/30 in the right eye and +7.75 +1.50 ×029 correcting to 20/30 in the left eye. A 36 D AcrySof SN60WF (Alcon, Fort Worth, TX) intraocular lens (IOL) was implanted in each eye.