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Early serous macular detachment after phacoemulsification surgery
Hakki Zeki Buyukyildiz1, Gokhan Gulkilik, Yusuf Ziya Kumcuoglu
1Istanbul Eye Hospital I, Istanbul, Turkey.
Journal of Cataract and Refractive Surgery
|October 30, 2010
Summary
A rare complication of cataract surgery, serous macular detachment with intraretinal fluid, occurred after intracameral cefuroxime administration. Prompt treatment with acetazolamide, steroids, or triamcinolone improved visual acuity.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Phacoemulsification is a common cataract surgery.
- Intracameral cefuroxime is used for endophthalmitis prophylaxis.
Observation:
- Two cases of serous macular detachment with intraretinal fluid occurred post-phacoemulsification.
- This complication followed intracameral cefuroxime administration due to a dilution error.
Findings:
- Patients presented with significantly reduced visual acuity (20/400) and increased central foveal thickness.
- Case 1 resolved with acetazolamide and then systemic steroids.
- Case 2 resolved with intravitreal triamcinolone.
Implications:
- Dilution errors in intracameral antibiotic preparation can lead to serious ocular complications.
- Early diagnosis and appropriate management are crucial for visual recovery.
- This highlights the importance of meticulous drug preparation protocols in ophthalmic surgery.
