Sudden macular edema 2 years after cataract surgery due to retained nuclear fragment

Abstract Case report A 78-year-old man presented with a 2-week history of decreased vision in the right eye (RE). Ocular history included uncomplicated cataract surgery in the RE 2 years earlier. Gonioscopy revealed a retained small nuclear fragment (sNF) in the anterior chamber (AC) and OCT showed...

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Bibliographic Details
Published in:Archivos de la Sociedad Española de Oftalmología (English ed.) 2014-07, Vol.89 (7), p.272-274
Main Authors: Asensio-Sánchez, V.M, Ajamil, S, Ramoa-Osorio, R, Trujillo-Guzmán, L
Format: Article
Language:English
Subjects:
Anterior chamber
Cataract
Catarata
Cámara anterior
Edema macular
Fragmento nuclear
Lens fragment
Láser YAG
Macular edema
Ophthalmology
YAG laser
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Summary:Abstract Case report A 78-year-old man presented with a 2-week history of decreased vision in the right eye (RE). Ocular history included uncomplicated cataract surgery in the RE 2 years earlier. Gonioscopy revealed a retained small nuclear fragment (sNF) in the anterior chamber (AC) and OCT showed macular edema (ME). The NF was fragmented with a YAG laser. Discussion AC retained NF resulted in ME and reduced visual acuity. We recommend gonioscopy in cases of reduced visual acuity and history of phacoemulsification. ME and reduced vision may be reversed by removing the NF with YAG laser.
ISSN:2173-5794
2173-5794
DOI:10.1016/j.oftale.2014.08.005