Cystoid Macular Edema 18 Years after Anterior Chamber Phakic Intraocular Lens Implantation

Autor: Warrak, Elias L., Haddam, Majd S., Dandan, Walid N., Warrak, John E., Sammouh, Fady K.
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Case Reports in Ophthalmological Medicine.
ISSN: 2090-6722
DOI: 10.1155/2022/1853248
Popis: We report a case of a 54-year-old female patient who underwent PAC-IOL implantation 18 years prior to presentation. The patient had a best corrected visual acuity (BCVA) 20/20 in the right eye (OD) postoperatively with normal eye exam on routine follow-up since then. The patient presented for acute onset decreased visual acuity in the right eye. BCVA was 20/60, and exam showed blunted macular reflex with no evidence of inflammation. Optical coherence tomography (OCT) showed CME. She was started on topical treatment (ketorolac 0.5%) OD four times daily. Three weeks later, the patient had a BCVA of 20/20 OD with a normal macular reflex and an OCT showing the resolution of the CME. To our knowledge, this is the first reported case of a CME 18 years post PAC-IOL implantation. The possible cause of this incidence could be related to subclinical intraocular inflammation. Ophthalmologists should be aware of the possibility of such a latent CME post-PAC-IOL implantation.
Databáze: OpenAIRE
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