Abstract
The case studies are about atypical bilateral, postoperative Cystoid Macular Edema (CME) in two patients who underwent bilateral uncomplicated pha- coemulsification surgery with a trifocal Intraocular Lens (IOL). In postoperative follow-up, both the cases presented with complaints of bilateral blurring of vision. Irvine-Gass syndrome has been diagnosed after evaluation of the retina by fundoscopy and OCT macula. Posterior subtenon steroid injection has been prescribed and given. Regular OCT examinations indicated substantial ede- ma improvement. Subsequent improvement in visual acuity was also noted in both cases. Cystoid macular edema can happen in any case irrespective of the quality of IOL. The visual outcome is satisfactorily responsive towards steroid medication.
Highlights
A cataract is a common ocular phenomenon worldwide for older people
The case studies are about atypical bilateral, postoperative Cystoid Macular Edema (CME) in two patients who underwent bilateral uncomplicated phacoemulsification surgery with a trifocal Intraocular Lens (IOL)
Irvine-Gass syndrome has been diagnosed after evaluation of the retina by fundoscopy and Optical Coherence Tomography (OCT) macula
Summary
Though it has reduced the chance of surgical injury to the eye, unlike any other surgical procedures, it may produce complications. Cystoid Macular Edema (CME) develops due to extracellular fluid accumulation in the retina’s outer plexiform and inner nuclear layers This fluid accumulation is caused by the inflammatory process, which causes the breakdown of the physiological blood-retinal barrier. Its diagnosis can be quickly confirmed by clinical and angiographic examination like fundoscopy, Fundus Fluorescein Angiography (FFA), and Optical Coherence Tomography (OCT) of the macula According to reports, it is a relatively unusual disease, with just 0.2% - 2% of post-surgical patients developing this problem [3] [4]. The purpose of this article is to notify the possibility of Irvine-Gass syndrome following phacoemulsification surgery, even if a premium trifocal lens is used and the procedure was uneventful
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