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

Tommaso Verdina; Tomaso Caporossi; Gian Maria Cavallini; Rodolfo Mastropasqua

doi:10.1016/j.ajoc.2021.101117

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

Am J Ophthalmol Case Rep. 2021 May 6:22:101117. doi: 10.1016/j.ajoc.2021.101117. eCollection 2021 Jun.

Authors

Tommaso Verdina^{1

2}, Tomaso Caporossi^{2

3}, Gian Maria Cavallini¹, Rodolfo Mastropasqua¹

Affiliations

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.

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.

Keywords: Cataract; High myopia; Macular detachment; Vitreomacular traction.

Publication types

Case Reports