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Macular phototrauma after cataract extraction and multifocal lens implantation: case report
J L Menezo1, C Peris-Martínez, J Taboada Esteve
1Department of Ophthalmology, University Hospital La Fe, Valencia, Spain.
Purpose:
To report a patient who developed photic injury after cataract surgery and multifocal MF4 lens implantation
Methods:
A 41-year-old caucasian woman without antecedents of interest was subjected to left catarct surgery involving phacoemulsification with capsular sac implantation of a new type of multifocal lens. A coaxial light microscope was used for surgery. The operation was filmed and anterior pole photographs were obtained.
Results:
Two days after the operation, the patient noted a paracentral scotoma and hand movement visual acuity in the left eye. Indirect ophthalmoscopy revealed an oval, hyperpigmented macular lesion compatible with phototoxic maculopathy.
Conclusions:
Phototoxic injury to the macula may occur after cataract extraction. Implantation of an intraocular lens is an important factor in the producion of maculopathy, on account of its light-focusing effect on the retina. This effect was probably increased in our patient by the use of a new autofocus multifocal lens.