Bilateral cystoid macular edema after phacoemulsification in post-laser in situ keratomileusis eyes

Abstract

We report a case of a 66-year-old man who had bilateral laser in situ keratomileusis and 6 months later, uneventful simultaneous bilateral cataract surgery. One week postoperatively, the visual acuity was reduced and 4 weeks later, the patient was referred to our clinic with a macular hemorrhage in the right eye and bilateral cystoid macular edema. He was treated with bilateral sub-Tenon's triamcinolone, which had to be repeated in both eyes, and is still being followed.

Same-day sequential cataract surgery

“…6/6, 86% ! 6/9 Arshinoff et al [13] Canada 1020 Phaco: Low complication rate Chang [14] USA >6000 since 1995 BJO editorial review reporting no cases of bilateral endophthalmitis from 1995-2003 Johansson and Lundh [15] Sweden 220 VA !20/40 in 78% of eyes Sarikkola et al [16] Finland 141 BCVA 84% !20/40, 96% surveyed viewed experience as positive Ozdek et al [17] Turkey 1 Case report of bilateral endophthalmitis Packard [18] UK 100 SBCS with ReSTOR IOLs (Alcon) Lundstrom et al [19] UK 96 Randomized trial: Quicker visual recovery and better contrast sensitivity of SBCS vs. UCS Nassiri et al [20 ] Iran 220 More rapid rehabilitation of visual function in SBCS vs. UCS in nonrandomized trial Chalioulias and Tsaloumas [21] UK 1 Bilateral CME case report Kim et al [22] Korea 1 Bilateral TASS case report (not SBCS)…”

A Case of Acute Bilateral Irvine-Gass Syndrome following Uncomplicated Phacoemulsification, Demonstrated with Optical Coherence Tomography

“…Bilateral cases of CME have been reported in association with systemic diseases including Crohn's disease [ 8 ] and infections [ 9 ]. Limited cases of bilateral CME after cataract surgery have been reported in the literature [ 10 , 11 ].…”