Posterior Uveal Effusion after Cataract Surgery

We report a case of posterior uveal effusion (UE) with a long-term follow-up that has occurred following cataract surgery. A 64-year-old woman presented with diminished vision of the right eye (RE) 3 weeks after an uneventful phacoemulsification and intraocular lens implantation. Complete ophthalmic...

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Bibliographic Details
Published in:Case reports in ophthalmology 2021-01, Vol.12 (1), p.62-67
Main Authors: Abaza, Annegret, Dikmetas, Özlem, Neuhann, Irmingard, Gelisken, Faik
Format: Article
Language:English
Subjects:
Case Report
Case reports
cataract surgery
Cataracts
complication
Edema
Eye surgery
Ischemia
Medical imaging
Morphology
optical coherence tomography
Optics
Steroids
Ultrasonic imaging
uveal effusion
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Summary:We report a case of posterior uveal effusion (UE) with a long-term follow-up that has occurred following cataract surgery. A 64-year-old woman presented with diminished vision of the right eye (RE) 3 weeks after an uneventful phacoemulsification and intraocular lens implantation. Complete ophthalmic examination including fluorescein angiography (FA), indocyanine green angiography (ICGA), echography and optical coherence tomography (OCT) were performed. Best corrected visual acuity (BCVA) of the RE was 20/50. Anterior segment and intraocular pressure were unremarkable. OCT revealed prominent folds of the choroid and retina, subretinal fluid and darkening of the choroid with reduced visibility of the choroidal vessels and the scleral border. The left eye (LE) was unremarkable. BCVA of the LE was: 20/20. After topical anti-inflammatory and systemic corticosteroid therapy for 5 months, no morphological change of the macula was seen. The patient was observed without any treatment. Forty-three months after the cataract surgery and 38 months after cessation of the corticosteroid therapy, OCT revealed a normal macular morphology and the BCVA improved to 20/25. Even though rare, UE at the posterior pole may occur after modern cataract surgery. OCT examination is a reliable tool in monitoring the macular morphology. Since morphological and functional improvement can be seen in long-term, observation may be considered for some cases of posterior UE with resistance to the therapy.
ISSN:1663-2699
1663-2699
DOI:10.1159/000510390