Risk Management in Cataract Surgery

Agadzi, Anthony K.; Menke, Anne M.; Abbott, Richard L.

doi:10.1016/b978-1-4160-3225-0.00043-x

Cited by 1 publication

(1 citation statement)

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“…The complications can be related to cystoid macular edema, choroidal effusion, exacerbation of age-related macular degeneration (AMD), and ruptured posterior capsule with dropped or retained lens fragments. 1 In addition, post-surgery retinal complications such as retinal detachment, lamellar retinal hole, and full-thickness macular hole formation have been reported. [2][3][4] There have been no reports of retinal pigment epithelium (RPE) tear as a complication of cataract surgery.…”

Section: Jcrs Online Case Reports 2014; 2:96-99 Q 2014 Ascrs and Escrsmentioning

confidence: 99%

Retinal pigment epithelial tear after uneventful cataract surgery in a patient without macular degeneration

Song

Nam

Lee

et al. 2014

Journal of Cataract and Refractive Surgery Online Case Reports

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A 66-year-old man was referred to our clinic with decreased vision in the left eye. Nine days earlier, the patient had had uneventful phacoemulsification with intraocular lens (IOL) implantation in the left eye. The preoperative examination showed a cortical nuclear cataract and a normal fundus. One day post surgery, visual acuity in the left eye had deteriorated, and at the time of referral, the corrected distance visual acuity was 20/160. Fundus biomicroscopy and optical coherence tomography showed a retinal pigment epithelial tear with subretinal fluid collection involving the macula. Fluorescein angiography showed no choroidal neovascularization on the macula. We report a case of retinal pigment epithelial tear after uneventful phacoemulsification with posterior chamber IOL implantation in an eye that was normal except for the presence of an immature cataract.Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned. JCRS Online Case Reports 2014; 2:96-99 Q 2014 ASCRS and ESCRSCataract surgery is one of the most commonly performed ophthalmic surgeries, and most surgeries do not develop severe complications. However, some vitreoretinal complications occur and can negatively influence visual prognosis. The complications can be related to cystoid macular edema, choroidal effusion, exacerbation of age-related macular degeneration (AMD), and ruptured posterior capsule with dropped or retained lens fragments. 1 In addition, post-surgery retinal complications such as retinal detachment, lamellar retinal hole, and full-thickness macular hole formation have been reported. 2-4 There have been no reports of retinal pigment epithelium (RPE) tear as a complication of cataract surgery. To our knowledge, this is the first report of an RPE tear arising after cataract surgery in an eye that was normal except for the presence of an immature cataract. CASE REPORTA 66-year-old man was referred to our clinic with decreased visual acuity in the left eye after cataract surgery. Nine days earlier, the patient had had uneventful phacoemulsification with posterior chamber intraocular lens (PC IOL) implantation in the left eye to resolve foggy vision. The preoperative ophthalmic examination showed a corrected distance visual acuity (CDVA) of 20/20, and 90-diopter (D) slitlamp biomicroscopy of the fundus was normal. A preoperative photograph of the left eye fundus showed no abnormalities (Figure 1). Although the preoperative CDVA was 20/20, the patient complained of foggy vision caused by a senile cataract and requested cataract surgery. Phacoemulsification with PC IOL implantation was performed under topical anesthesia. The incision was done through the temporal clear cornea. There were no intraoperative problems such as ocular hypotony, surge, lens-capsular rupture or tear, or vitreous prolapse. The PC IOL was implanted in the capsular bag and the corneal incision site sealed with intrastromal hydration. The surgery was uneventful, ie, there was no preoperative or postoperative ocular ...

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Section: Jcrs Online Case Reports 2014; 2:96-99 Q 2014 Ascrs and Escrsmentioning

confidence: 99%