June 2013
Volume 54, Issue 15
Free
ARVO Annual Meeting Abstract  |   June 2013
Acute serous retinal detachment after uncomplicated cataract surgery
Author Affiliations & Notes
  • Maurizio Uva
    Institute of Ophtalmology, University of Catania, Catania, Italy
  • Antonio Longo
    Institute of Ophtalmology, University of Catania, Catania, Italy
  • Michele Reibaldi
    Institute of Ophtalmology, University of Catania, Catania, Italy
  • Mario Toro
    Institute of Ophtalmology, University of Catania, Catania, Italy
  • Vincenza Bonfiglio
    Institute of Ophtalmology, University of Catania, Catania, Italy
  • Faro Giuseppe
    Institute of Ophtalmology, University of Catania, Catania, Italy
  • Andrea Russo
    Institute of Ophtalmology, University of Catania, Catania, Italy
  • Caterina Gagliano
    Opthalmology, NEST (Neurovisual Science Technology), Catania, Italy
  • Teresio Avitabile
    Institute of Ophtalmology, University of Catania, Catania, Italy
  • Footnotes
    Commercial Relationships Maurizio Uva, None; Antonio Longo, None; Michele Reibaldi, None; Mario Toro, None; Vincenza Bonfiglio, None; Faro Giuseppe, None; Andrea Russo, None; Caterina Gagliano, None; Teresio Avitabile, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 121. doi:https://doi.org/
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      Maurizio Uva, Antonio Longo, Michele Reibaldi, Mario Toro, Vincenza Bonfiglio, Faro Giuseppe, Andrea Russo, Caterina Gagliano, Teresio Avitabile; Acute serous retinal detachment after uncomplicated cataract surgery. Invest. Ophthalmol. Vis. Sci. 2013;54(15):121. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose
 

To report some cases of acute serous retinal detachment (ASRD) after uncomplicated cataract surgery.

 
Methods
 

In a retrospective study, were collected the data of patients that developed an ASRD after an uncomplicated phacoemulsification with IOL implantation. Diagnosis was made at the first post-operative day, when all patients had a very low best corrected visual acuity (BCVA) in spite of a good aspect of the anterior segment, without significant keratopathy and with only trace cells in the anterior chamber; OCT revealed a serous retinal detachment with intraretinal fluid accumulation in macular area. Patients received systemic treatment with indomethacin 20 mg QD and acetazolamide 125 mg TID, and topical indomethacin 0.1% eyedrops in addition to usual post-operative treatment (topical: tropicamide 1% BID, steroids and antibiotics QID; oral cefixime 400 mg QD for 5 days). Patients were examined postoperatively at 1, 3, 7, and 30 days. BCVA and central foveal thickness (CFT), measured by a Spectral domain Spectralis OCT, were evaluated. It was evaluated if demographics, preoperative ocular conditions, systemic diseases, parameters of surgery were related to the development of ASRD.

 
Results
 

From January 2009 to June 2012, on 3900 cataract surgery performed, an ASRD was detected in 5 patients (3m, 2f, mean age 59±9 years). Pre-operatively, mean BCVA was 0.16±0.09 decimals. At the first post-operative day, mean BCVA was 0.08±0.03 decimals, and CFT was 836±96 microns; all eyes had intraretinal fluid accumulation and serous retinal detachment. At the following controls, BCVA improved and CFT reduced significantly (both ANOVA p<0.001). At 3 days, mean BCVA was 0.36±0.11 decimals and mean CFT was 444±155 microns. At 7 days, BCVA was at least 0.8 decimals in all eyes (mean 0.90±0.07), with complete reabsorption of intra and subretinal fluid (mean CFT 210±8 microns). At 30 days, mean BCVA was 0.96±0.05 decimals and mean CFT was 191±12 microns. In the following six months, no eye had recurrence of macular edema. Preoperatively, all eyes had myopic refraction (axial length range: 24.8-27.4 mm), and had no posterior vitreous detachment; no relevant data were found on other parameters investigated.

 
Conclusions
 

Acute serous retinal detachment is a rare event that can occur after uncomplicated phacoemulsification, that in our cases resolved in a few days without recurrence.

 
Keywords: 697 retinal detachment • 585 macula/fovea • 505 edema  
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