Posterior Wall Collapse in High Myopia following Cataract Surgery.
Galia A Deitz1, Adam R Sweeney2, Hoon C Jung2,3
1University of Washington School of Medicine, Seattle, Washington, USA.
Case Reports in Ophthalmology
|April 24, 2018
Summary
Posterior globe collapse after cataract surgery can occur in highly myopic patients. Prompt recognition and emergent air injection can restore intraocular pressure and improve vision.
Area of Science:
- Ophthalmology
- Surgical Complications
- Retinal Diseases
Background:
- Cataract surgery is a common procedure with generally good outcomes.
- High myopia presents unique challenges and potential complications in ocular surgery.
- Postoperative hypotony, a decrease in intraocular pressure, can lead to serious complications.
Observation:
- A case of posterior globe collapse post-cataract surgery in a high myopia patient.
- Hypotony (low intraocular pressure) was diagnosed.
- The patient experienced vision decline and globe collapse.
Findings:
- Pars plana air injection successfully reformed the globe.
- Intraocular pressure normalized, and visual acuity improved significantly.
- Pathologically myopic eyes are susceptible to globe collapse with reduced IOP.
Implications:
- Highlights the risk of globe collapse in high myopia patients after cataract surgery.
- Emphasizes the importance of recognizing and managing postoperative hypotony.
- Demonstrates the efficacy of emergent air injection for globe reformation.
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