We report 2 cases of serous macular detachment with intraretinal fluid accumulation that developed 1 day after uneventful phacoemulsification surgery. Because of a dilution error, both eyes received 2 mg/0.1 mL of intracameral cefuroxime at the end of surgery. On postoperative day 1, the corrected distance visual acuity (CDVA) was 20/400 in both eyes. Optical coherence tomography revealed intraretinal fluid accumulation with serous macular detachment, and central foveal thickness measurements were 909 μm and 559 μm in Case 1 and Case 2, respectively. Case 1 responded to systemic acetazolamide, but the condition recurred after cessation of therapy; it then responded to systemic steroid treatment. Case 2 responded to an intravitreal injection of 4 mg of triamcinolone and remained stable throughout the follow-up. The final CDVA was 20/20 in Case 1 and 20/25 in Case 2, and central foveal thickness measurements were 205 μm and 208 μm, respectively.

A case of an intraoperative Laser in situ keratomileusis (LASIK) complication due to excimer laser firing failure was presented. After cutting the corneal flap, excimer laser treatment was initiated. However, at 34% completion the laser (Technolas((R)) 217z Bausch & Lomb Rochester, NY) stopped firing for no apparent reason. The flap was repositioned over the cornea and the patient was sent to the waiting room. The laser technician was called and he resolved the problem within 20 mins. The same treatment profile was loaded into the laser instrument and 34% of the excimer laser treatment was applied to a piece of paper. Then, the patient was returned to the operating theater and the flap was reopened with a cannula. The remaining (66%) excimer laser treatment was applied in the same session. On the following day the cornea was clear and the uncorrected visual acuity (UCVA) was 20/20. The UCVA increased to 20/16 in the first week and remained at this level at the 6-month follow-up.