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Beitragstitel Acute Serous Retinal Detachment After the Same Operating Session of Uncomplicated Cataract Surgeries: A Case Series
Beitragscode P61
Autor:innen
  1. Giorgio Enrico Bravetti University Hospitals Geneva and University of Geneva Präsentierende:r
  2. Emanuela Fraboni Private Practice, Ambulatorio Oculistico Bravetti-Fraboni, Bologna, Italy
  3. Giacomo Edoardo Bravetti University of Ferrara, Ferrara, Italy
  4. Giorgio Oddo Bravetti Private Practice, Ambulatorio Oculistico Bravetti-Fraboni, Bologna, Italy
Präsentationsform ePoster
Themengebiete
  • Cataract / Refractive Surgery / Contact Lens
  • Retina Vitreous
Abstract-Text Purpose:
To report 4 cases of acute serous retinal detachment (ASRD) after the same operating session of uncomplicated cataract surgeries.


Methods:
In this case series, data of patients who developed an ASRD after an uncomplicated phacoemulsification with IOL implantation during the same operating session were collected. Diagnosis was made at the first post-operative day, when all patients had a very low best corrected visual acuity (BCVA) despite of a good aspect of the anterior segment, without significant keratopathy and with only trace cells in the anterior chamber. Spectral domain optic coherence tomography (SD-OCT) revealed a serous retinal detachment with subretinal fluid accumulation in the macular area. Patients received parabulbar injection of 40 mg/ml triamcinolone in addition to usual post-operative topical treatment of 0.1% dexamethasone and 0.3% netilmicin eyedrops. Patients were examined postoperatively at day 1, 3, 7, and 1 month. BCVA and central foveal thickness (CFT) measured by a SD-OCT were evaluated. A relationship between demographics, preoperative ocular conditions, systemic diseases, parameters of surgery and the development of ASRD was analysed.


Results:
After a single operating session of 10 uneventful cataract surgeries, operated by the same expert surgeon, at day 1 post-operative an ASRD was detected in 4 patients (3 male, 1 female; mean age 71 ± 4.1 years). At the first post-operative day, mean BCVA was 0.05 ± 0.1 decimals, and all eyes had serous retinal detachment. At the following controls, BCVA improved and CFT reduced significantly. At day 7, BCVA was at least 0.8 decimals in all eyes, with complete reabsorption of subretinal fluid. At 1 month, mean BCVA was 0.90 ± 0.05 decimals and no eye had recurrence of serous retinal detachment. No relevant data were found on other parameters investigated.


Conclusions:
Acute serous retinal detachment is a rare event that can occur after uncomplicated phacoemulsification, that in our cases resolved in a few days without recurrence.