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ACUTE MACULAR EDEMA WITH SEROUS RETINAL DETACHMENT AFTER CATARACT SURGERY IN A VITRECTOMIZED EYE: A CASE REPORT
- Source :
- RETINAL Cases & Brief Reports. 15:745-748
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- PURPOSE To present the first case of acute macular edema with serous retinal detachment after cataract surgery in a vitrectomized eye. METHODS A 63-year-old female patient, with history of pars plana vitrectomy and epiretinal membrane removal, underwent uneventful phacoemulsification surgery with injection of standard intracameral dose of cefuroxime (1 mg/0.1 mL of solution) at the end of the procedure. RESULTS First day after cataract surgery, visual acuity did not correlate with anterior segment findings, and funduscopic eye examination revealed acute macular edema with serous retinal detachment, which was confirmed by spectral domain optical coherence tomography. Fluorescein angiography showed no retinal or choroidal hyperpermeability. At 2-week follow-up visit, visual acuity had significantly improved, and there was complete resolution of macular edema and subretinal fluid. CONCLUSION The current case suggests that acute macular edema with serous retinal detachment after cataract surgery with standard cefuroxime prophylaxis can occur even in vitrectomized eyes. A high level of suspicious is needed when visual acuity does not correlate with anterior segment findings immediately after cataract surgery. Similar to reports from nonvitrectomized eyes, visual prognosis was favorable.
- Subjects :
- Pars plana
medicine.medical_specialty
Visual acuity
genetic structures
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Vitrectomy
General Medicine
Phacoemulsification
medicine.disease
Fluorescein angiography
eye diseases
Serous Retinal Detachment
Surgery
Ophthalmology
medicine.anatomical_structure
medicine
sense organs
medicine.symptom
Epiretinal membrane
business
Macular edema
Subjects
Details
- ISSN :
- 19351089
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- RETINAL Cases & Brief Reports
- Accession number :
- edsair.doi...........612405249a86c6c24a464b6837a3e2cd