Author: Giorgio Enrico Bravetti (Switzerland)
Co-authors: Emanuela Fraboni, Giacomo Edoardo Bravetti, Giorgio Oddo Bravetti
Purpose
To report 4 cases of acute serous retinal detachment (ASRD) after the same operating session of uncomplicated cataract surgeries.
Setting/Venue
Case series.
Methods
In this case series, data of patients who developed an ASRD after an uncomplicated phacoemulsification with IOL implantation during the same operating session were collected. Diagnosis was made at the first post-operative day, when all patients had a very low best corrected visual acuity (BCVA) despite of a good aspect of the anterior segment, without significant keratopathy and with only trace cells in the anterior chamber. Spectral domain optic coherence tomography (SD-OCT) revealed a serous retinal detachment with subretinal fluid accumulation in the macular area. Patients received parabulbar injection of 40 mg/ml triamcinolone in addition to usual post-operative topical treatment of 0.1% dexamethasone and 0.3% netilmicin eyedrops. Patients were examined postoperatively at day 1, 3, 7, and 1 month. BCVA and central foveal thickness (CFT) measured by a SD-OCT were evaluated at each visit. A relationship between demographics, preoperative ocular conditions, systemic diseases, parameters of surgery and the development of ASRD was analysed.
Results
After a single operating session of 10 uneventful cataract surgeries, operated by the same expert surgeon, at day 1 post-operative an ASRD was detected in 4 patients (3 male, 1 female; mean age 71 ± 4.1 years). Pre-operatively, mean BCVA was 0.6 ± 0.1 decimals and mean CFT was 191.3 ± 13.7 micron. At the first post-operative day, mean BCVA was 0.01 ± 0.1 decimals, and all eyes had serous retinal detachment, with a mean CFT of 682.0 ± 97.4 microns. At the following controls, BCVA improved and CFT reduced significantly. At day 7, BCVA was at least 0.7 decimals in all eyes, with complete reabsorption of subretinal fluid. At 1 month, mean BCVA was 1.0 ± 0.0 decimals and no eye had recurrence of serous retinal detachment, with a mean CFT of 202.3 ± 26.7 microns. No relevant data were found on other parameters investigated.
Conlusions
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.
Financial Disclosure
None
Comments
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