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Letter to the Editor
Long term effect of repeated hyperbaric oxygen therapy on visual acuity in inflammatory cystoid macular oedema
  1. M S A SUTTORP-SCHULTEN,
  2. F C C RIEMSLAG,
  3. A ROTHOVA
  1. Netherlands Ophthalmic Research Institute, Amsterdam, the Netherlands
  2. Department of Surgery, Academic Medical Center Amsterdam, the Netherlands
  3. Department of Ophthalmology, Academic Medical Center Amsterdam, the Netherlands
  1. A J VAN DER KLEY
  1. Netherlands Ophthalmic Research Institute, Amsterdam, the Netherlands
  2. Department of Surgery, Academic Medical Center Amsterdam, the Netherlands
  3. Department of Ophthalmology, Academic Medical Center Amsterdam, the Netherlands
  1. F C C RIEMSLAG
  1. Netherlands Ophthalmic Research Institute, Amsterdam, the Netherlands
  2. Department of Surgery, Academic Medical Center Amsterdam, the Netherlands
  3. Department of Ophthalmology, Academic Medical Center Amsterdam, the Netherlands
  1. M S A Suttorp-Schulten, MD, Netherlands Ophthalmic Research Institute, PO Box 12141, 1100 AC Amsterdam, the Netherlands.

https://doi.org/10.1136/bjo.81.4.329

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    Editor,—Cystoid macular oedema is a well known complication of chronic uveitis and is the major cause of visual disability accounting for 29% of blindness and 41% of visual impairment in this group.1

    Therapy consists of control of inflammation with both topical and systemic agents. Symptomatic treatment with acetazolamide orally and grid laser photocoagulation have been shown to reduce cystoid macular oedema as well as vitrectomy.2 3

    Treatment of cystoid macular oedema has been reported with good results by hyperbaric oxygen, but only limited follow up was presented.4-7

    CASE REPORT

    In 1986 a 46-year-old woman developed bilateral posterior uveitis with vitritis and periphlebitis of unknown origin. Routine uveitis screening disclosed no abnormalities. Despite locally administered drugs, high doses of systemic prednisolone, and acetazolamide cystoid macular oedema increased and persisted. Grid laser treatment …

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