July 2019
Volume 60, Issue 9
Free
ARVO Annual Meeting Abstract  |   July 2019
Retinal Vein Occlusion after Cataract Surgery: Risk factors, prognosis and 1 year Outcome data
Author Affiliations & Notes
  • Miguel Kurc
    Ophthalmology, Salisbury NHS Foundation Trust, Salisbury, United Kingdom
    Ophthalmology, University Hospital Southampton, Southampton, United Kingdom
  • Rashi Arora
    Ophthalmology, Salisbury NHS Foundation Trust, Salisbury, United Kingdom
  • Footnotes
    Commercial Relationships   Miguel Kurc, None; Rashi Arora, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 3958. doi:
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      Miguel Kurc, Rashi Arora; Retinal Vein Occlusion after Cataract Surgery: Risk factors, prognosis and 1 year Outcome data. Invest. Ophthalmol. Vis. Sci. 2019;60(9):3958.

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

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Abstract

Purpose : Retinal Vein Occlusion (RVO) has been observed following cataract surgery, most notably with respect to vancomycin-associated haemorrhagic occlusive retinal vasculitis. Only one other case series reports a non-vancomycin associated RVO following surgery.

Methods : In this retrospective, single centre study, we analyzed data from all patients with a new diagnosis of RVO at first follow-up after cataract surgery between Oct 2015-2016. We continued to observe these patients and assessed BCVA at 1 year following presentation.

Results : In our study, 5 patients (mean age= 79.8± 9.52; 40% female) were identified. Of these, 4 (80%) developed cystoid macular oedema requiring intravitreal anti-VEGF therapy. All surgeries were reported as uneventful. Mean Pre-operative BCVA was 0.38±0.11 log MAR, postoperative after cataract surgery was 0.41±0.36 and the final VA outcome after treatment of macular oedema was 0.27±0.06. Co-morbidities included: 4 patients with hypertension, 2 with renal disease and 1 with diabetes type 2 and hypercholesterolemia.

Conclusions : During this study, we noted that hypertension, vascular risk factors and IOP fluctuation during surgery were identified as risks for the development of RVO. Visual outcomes appear to more favourable in comparison to haemorrhagic occlusive retinal vasculitis. RVO may affect cataract surgery outcome and high-risk patients should be adequately counselled.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

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