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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| Format: | Article |
| Language: | English |
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Karger Publishers
2021-01-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/510390 |
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| author | Annegret Abaza Özlem Dikmetas Irmingard Neuhann Faik Gelisken |
| author_facet | Annegret Abaza Özlem Dikmetas Irmingard Neuhann Faik Gelisken |
| author_sort | Annegret Abaza |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T14:40:42Z |
| format | Article |
| id | doaj.art-a748dd2ad1914211995aac1e672dfca5 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-21T14:40:42Z |
| publishDate | 2021-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-a748dd2ad1914211995aac1e672dfca52022-12-21T19:00:12ZengKarger PublishersCase Reports in Ophthalmology1663-26992021-01-01121626710.1159/000510390510390Posterior Uveal Effusion after Cataract SurgeryAnnegret AbazaÖzlem DikmetasIrmingard NeuhannFaik GeliskenWe 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.https://www.karger.com/Article/FullText/510390cataract surgerycomplicationoptical coherence tomographyuveal effusion |
| spellingShingle | Annegret Abaza Özlem Dikmetas Irmingard Neuhann Faik Gelisken Posterior Uveal Effusion after Cataract Surgery Case Reports in Ophthalmology cataract surgery complication optical coherence tomography uveal effusion |
| title | Posterior Uveal Effusion after Cataract Surgery |
| title_full | Posterior Uveal Effusion after Cataract Surgery |
| title_fullStr | Posterior Uveal Effusion after Cataract Surgery |
| title_full_unstemmed | Posterior Uveal Effusion after Cataract Surgery |
| title_short | Posterior Uveal Effusion after Cataract Surgery |
| title_sort | posterior uveal effusion after cataract surgery |
| topic | cataract surgery complication optical coherence tomography uveal effusion |
| url | https://www.karger.com/Article/FullText/510390 |
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