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Epiretinal deposits post cataract extraction.

Umesh C Behera1, Rathinam R Sivakumar, Lalitha Prajna

  • 1Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, India.

Retinal Cases & Brief Reports
|November 11, 2014
PubMed
Summary
This summary is machine-generated.

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Unusual epiretinal deposits occurred in two patients after cataract surgery complicated by posterior capsule breaches. Hydroxypropyl methylcellulose use was noted in both cases, suggesting potential posterior segment toxicity.

Area of Science:

  • Ophthalmology
  • Surgical Complications

Background:

  • Cataract surgery is a common procedure with a low complication rate.
  • Intraoperative complications, such as posterior capsule breaches, can occur.

Purpose of the Study:

  • To report two rare cases of epiretinal deposits following cataract surgery.
  • To investigate potential causes of posterior segment toxicity in complicated cataract surgeries.

Main Methods:

  • Retrospective review of patients undergoing cataract extraction.
  • Identification of cases with intraoperative posterior capsule breaches.
  • Analysis of clinical presentation and investigative workup.

Main Results:

  • Two patients developed epiretinal deposits post-cataract surgery with posterior capsule breaches.

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  • Inflammation was confined to the posterior segment.
  • Infective causes were ruled out, and no intraocular antibiotics were used.
  • Hydroxypropyl methylcellulose was used as the viscoelastic agent in both cases.
  • Conclusions:

    • Hydroxypropyl methylcellulose may be associated with rare posterior segment toxicity.
    • Intraoperative posterior capsule breaches are a risk factor in these cases.
    • This finding highlights a potential complication of viscoelastic use in complicated cataract surgery.