Surgically induced diffuse scleritis associated with choroidal detachment following phacoemulsification surgery.

Area of Science:

• Ophthalmology
• Surgical Complications
• Inflammatory Eye Disease

Background:

• Phacoemulsification cataract surgery is a common procedure.
• Complications, though rare, can occur and impact visual outcomes.
• Understanding and managing these complications is crucial for patient care.

Observation:

• A 49-year-old male with a history of high myopia and prior ocular surgery developed hemorrhagic choroidal detachment post-phacoemulsification.
• Ten days later, he presented with severe ocular pain and redness, diagnosed as surgical induced diffuse scleritis (SIDS).
• Initial visual acuity was significantly reduced, with signs of active scleral inflammation.

Findings:

• The patient received systemic corticosteroid therapy, with dosage adjustments for scleritis.
• A normal collagen vascular profile ruled out systemic vasculitic disorders.
• Complete resolution of hemorrhagic choroidal detachment and scleritis was observed within 8 weeks.

Implications:

• This case highlights a rare but serious complication of cataract surgery.
• Early diagnosis and aggressive management with systemic corticosteroids are key to favorable outcomes.
• Ophthalmologists should be vigilant for SIDS and choroidal detachments after phacoemulsification.