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Acute transient macular detachment after uneventful cataract surgery in a highly myopic eye

Authors
  • Verdina, Tommaso1, 2
  • Caporossi, Tomaso2, 3
  • Cavallini, Gian Maria1
  • Mastropasqua, Rodolfo1
  • 1 Institute of Ophthalmology, University of Modena and Reggio Emilia, Modena, Italy
  • 2 Centro Oculistico Diagnostico Chirurgico, Firenze, Italy
  • 3 Department of Ophthalmology, Catholic University of Sacred-Heart Foundation “Policlinico Universitario A. Gemelli” IRCCS, Rome, Italy
Type
Published Article
Journal
American Journal of Ophthalmology Case Reports
Publisher
Elsevier
Publication Date
May 06, 2021
Volume
22
Identifiers
DOI: 10.1016/j.ajoc.2021.101117
PMID: 34027230
PMCID: PMC8122157
Source
PubMed Central
Keywords
Disciplines
  • Case Report
License
Unknown

Abstract

Purpose We report a case of a highly myopic patient who presented a serous macular detachment at 24 hours after uncomplicated cataract surgery. Observations Surprisingly, after six days from surgery, a reabsorption of the detachment was noticed and the macular area returned to be anatomically normal without any surgical intervention. This early postoperative complication could be caused by changes in the vitreoretinal interface and ocular fluid dynamics or to a rupture of blood-retinal barriers due to postoperative inflammation. Conclusions and importance Our case reports on the occurrence of an early transient macular detachment after uneventful cataract surgery in a highly myopic eye. This finding suggests the importance of an OCT-based control in the immediate postoperative hours.

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