Cystoid Macular Edema 18 Years after Anterior Chamber Phakic Intraocular Lens Implantation
We report a case of a 54-year-old female patient who underwent PAC-IOL implantation 18 years prior to presentation. The patient had a best corrected visual acuity (BCVA) 20/20 in the right eye (OD) postoperatively with normal eye exam on routine follow-up since then. The patient presented for acute...
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| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/1853248 |
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| author | Elias L. Warrak Majd S. Haddam Walid N. Dandan John E. Warrak Fady K. Sammouh |
| author_facet | Elias L. Warrak Majd S. Haddam Walid N. Dandan John E. Warrak Fady K. Sammouh |
| author_sort | Elias L. Warrak |
| collection | DOAJ |
| description | We report a case of a 54-year-old female patient who underwent PAC-IOL implantation 18 years prior to presentation. The patient had a best corrected visual acuity (BCVA) 20/20 in the right eye (OD) postoperatively with normal eye exam on routine follow-up since then. The patient presented for acute onset decreased visual acuity in the right eye. BCVA was 20/60, and exam showed blunted macular reflex with no evidence of inflammation. Optical coherence tomography (OCT) showed CME. She was started on topical treatment (ketorolac 0.5%) OD four times daily. Three weeks later, the patient had a BCVA of 20/20 OD with a normal macular reflex and an OCT showing the resolution of the CME. To our knowledge, this is the first reported case of a CME 18 years post PAC-IOL implantation. The possible cause of this incidence could be related to subclinical intraocular inflammation. Ophthalmologists should be aware of the possibility of such a latent CME post-PAC-IOL implantation. |
| format | Article |
| id | doaj-art-58eeb80458304e54b99aa09013f0bd31 |
| institution | Kabale University |
| issn | 2090-6730 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-58eeb80458304e54b99aa09013f0bd312025-02-03T01:07:31ZengWileyCase Reports in Ophthalmological Medicine2090-67302022-01-01202210.1155/2022/1853248Cystoid Macular Edema 18 Years after Anterior Chamber Phakic Intraocular Lens ImplantationElias L. Warrak0Majd S. Haddam1Walid N. Dandan2John E. Warrak3Fady K. Sammouh4Department of Ophthalmology and Visual SciencesDepartment of Ophthalmology and Visual SciencesDepartment of Ophthalmology and Visual SciencesUniversity of BalamandDepartment of Ophthalmology and Visual SciencesWe report a case of a 54-year-old female patient who underwent PAC-IOL implantation 18 years prior to presentation. The patient had a best corrected visual acuity (BCVA) 20/20 in the right eye (OD) postoperatively with normal eye exam on routine follow-up since then. The patient presented for acute onset decreased visual acuity in the right eye. BCVA was 20/60, and exam showed blunted macular reflex with no evidence of inflammation. Optical coherence tomography (OCT) showed CME. She was started on topical treatment (ketorolac 0.5%) OD four times daily. Three weeks later, the patient had a BCVA of 20/20 OD with a normal macular reflex and an OCT showing the resolution of the CME. To our knowledge, this is the first reported case of a CME 18 years post PAC-IOL implantation. The possible cause of this incidence could be related to subclinical intraocular inflammation. Ophthalmologists should be aware of the possibility of such a latent CME post-PAC-IOL implantation.http://dx.doi.org/10.1155/2022/1853248 |
| spellingShingle | Elias L. Warrak Majd S. Haddam Walid N. Dandan John E. Warrak Fady K. Sammouh Cystoid Macular Edema 18 Years after Anterior Chamber Phakic Intraocular Lens Implantation Case Reports in Ophthalmological Medicine |
| title | Cystoid Macular Edema 18 Years after Anterior Chamber Phakic Intraocular Lens Implantation |
| title_full | Cystoid Macular Edema 18 Years after Anterior Chamber Phakic Intraocular Lens Implantation |
| title_fullStr | Cystoid Macular Edema 18 Years after Anterior Chamber Phakic Intraocular Lens Implantation |
| title_full_unstemmed | Cystoid Macular Edema 18 Years after Anterior Chamber Phakic Intraocular Lens Implantation |
| title_short | Cystoid Macular Edema 18 Years after Anterior Chamber Phakic Intraocular Lens Implantation |
| title_sort | cystoid macular edema 18 years after anterior chamber phakic intraocular lens implantation |
| url | http://dx.doi.org/10.1155/2022/1853248 |
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