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Optic disc edema with aphakic cystoid maculopathy masquerading as ischemic optic neuropathy
Journal of Clinical Neuro-Ophthalmology
|September 1, 1985
Summary
Visual loss after cataract surgery can stem from maculopathy, not just optic neuropathy. Fluorescein angiography reveals optic disc leakage in most aphakic cystoid maculopathy cases.
Area of Science:
- Ophthalmology
- Retinal Diseases
Background:
- Cataract extraction can lead to visual disturbances.
- Anterior ischemic optic neuropathy and aphakic cystoid macular edema are potential post-operative complications.
Observation:
- Two patients presented with visual loss, optic disc edema, hemorrhage, and cystoid maculopathy post-cataract surgery.
- Initial diagnosis considered anterior ischemic optic neuropathy, but clinical course suggested maculopathy as the primary cause.
Findings:
- Fluorescein angiography in both patients showed leakage from the macula, optic disc, and peripapillary areas.
- Review of 51 patients with aphakic cystoid maculopathy revealed optic disc hyperfluorescence in 75%, despite rare visual recognition of swelling.
Implications:
- Optic disc leakage on fluorescein angiography is common in aphakic cystoid maculopathy.
- This finding may influence the differential diagnosis and management of visual loss after cataract surgery.