Chronic center-involving DME and a history of anti-VEGF and intravitreal triamcinolone injections

Diabetic Macular Edema. 75-year-old man with chronic center-involving diabetic macular edema (DME) and a history of anti-VEGF and intravitreal triamcinolone injections. The patient developed a prominent posterior subcapsular cataract (PSCC) that limited the view to the macula. Despite the low-quality OCT signal, the DME is clearly present along with a component of subretinal fluid. Cataract surgery was arranged, and the OCT was used to guide preoperative injections. It is important to note that the OCT can be useful even when the signal is of low quality. Additionally, while it may be ideal to have no fluid prior to cataract surgery, there are cases that warrant surgical intervention despite the presence of DME. Caution and perioperative treatment are important.