The approach and discussion of the topic are of paramount importance, in view of the potential lethality of this treatable syndrome. Recognizing the occurrence of DRESS syndrome and starting treatment as soon as possible is crucial to reduce the risk of mortality and improve prognosis.

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This case report identified paracentral acute middle maculopathy as the cause of severe and irreversible vision loss after cataract surgery. Cataract surgeons should be aware of known risk factors for the development of paracentral acute middle maculopathy. In those patients, extra care regarding anesthesia, intraocular pressure, and some other aspects of cataract surgery must be taken. Paracentral acute middle maculopathy is currently understood as a clinical sign evident on spectral-domain optical coherence tomography, and it is probably evidence of deep ischemic insult to the retina. It should be a differential diagnosis in cases of marked low vision acuity associated with no fundus abnormalities in the immediate postoperative period, as demonstrated in the presented case.

A malattia leventinese ou distrofia macular de Doyne é uma doença autossômica dominante rara, causada por uma mutação no gene EFEMP1, caracterizada pela presença de inúmeras drusas com distribuição radial no polo posterior. Trata-se de uma paciente de 39 anos de idade que apresentou, à consulta oftalmológica, queixa de baixa acuidade visual no olho esquerdo (OE) percebida há aproximadamente dois anos. Foi aventada a hipótese diagnóstica de malattia leventinese com neovascularização de coroide no olho esquerdo, após avaliação clínica e propedêutica complementar.