Refractory cystoid macular oedema due to intraocular lens haptic perforating the iris.
Summary of "Refractory cystoid macular oedema due to intraocular lens haptic perforating the iris."
Cystoid macular oedema is a well-known complication of cataract surgery associated with intraocular lens decentration or dislocation. A 55-year-old man, who had undergone a phacoemulsification and intraocular lens implantation surgery two months previously was referred because of reduced vision in the right eye. Ocular examination revealed that one of the haptics had perforated the iris at 6 o'clock. There was cystoid macular oedema of the right eye. A topical non-steroid anti-inflammatory drug, followed by intravitreal injections did not produce a significant regression. Finally, the haptic was repositioned surgically and the macular oedema dramatically resolved. Correct placement of the intraocular lens might avoid post-operative complications including cystoid macular oedema.
Affiliation
Department of Ophthalmology, School of Medicine, Kırıkkale University, Kırıkkale, Turkey. E-mail: kemalornek@hotmail.com.
Journal Details
This article was published in the following journal.
Name: Clinical & experimental optometry : journal of the Australian Optometrical Association
ISSN: 1444-0938
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22420405
- DOI: http://dx.doi.org/10.1111/j.1444-0938.2012.00717.x
Medical and Biotech [MESH] Definitions
Macular Edema
Fluid accumulation in the outer layer of the MACULA LUTEA that results from intraocular or systemic insults. It may develop in a diffuse pattern where the macula appears thickened or it may acquire the characteristic petaloid appearance referred to as cystoid macular edema. Although macular edema may be associated with various underlying conditions, it is most commonly seen following intraocular surgery, venous occlusive disease, DIABETIC RETINOPATHY, and posterior segment inflammatory disease. (From Survey of Ophthalmology 2004; 49(5) 470-90)
Lens Implantation, Intraocular
Insertion of an artificial lens to replace the natural CRYSTALLINE LENS after CATARACT EXTRACTION or to supplement the natural lens which is left in place.
Phakic Intraocular Lenses
Lenses, generally made of plastic or silicone, that are implanted into the eye in front of the natural EYE LENS, by the IRIS, to improve VISION, OCULAR. These intraocular lenses are used to supplement the natural lens instead of replacing it.
Eye Injuries, Penetrating
Deeply perforating or puncturing type intraocular injuries.
Pseudophakia
Presence of an intraocular lens after cataract extraction.
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