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2015 ; 6
(1
): 143-8
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A Case of Acute Bilateral Irvine-Gass Syndrome following Uncomplicated
Phacoemulsification, Demonstrated with Optical Coherence Tomography
#MMPMID26034486
Shields MK
; Adler PA
; Fuzzard DR
; Chalasani R
; Teong JM
Case Rep Ophthalmol
2015[Jan]; 6
(1
): 143-8
PMID26034486
show ga
PURPOSE: To report a case of acute bilateral Irvine-Gass syndrome. METHODS: This
is an observational case report. RESULTS: An 82-year-old man with no significant
ocular history developed postsurgical pseudophakic cystoid macular edema (CME;
Irvine-Gass syndrome) on consecutive phacoemulsification cataract surgeries. His
initial first-eye (left) CME developed 25 days after surgery and was managed with
topical preparations of dexamethasone 0.1% and ketorolac 0.4%, in addition to a
routine post-cataract surgery drop regime. His left CME resolved completely on
optical coherence tomography (OCT) by day 100, and he subsequently (after
extensive discussion of CME risks) underwent cataract surgery on his right eye.
He was commenced prophylactically on dexamethasone, ketorolac and oral
indomethacin 25 mg t.d.s. immediately after surgery; however, he later developed
CME (OD) on day 32 postoperatively. Within 6 months, he achieved complete
resolution of his CME in both eyes. His clinical course was documented with
serial OCT studies. CONCLUSION: Irvine-Gass syndrome remains an important
differential diagnosis in the evaluation of blurred vision after cataract
surgery, despite decreasing incidence. Those who experience CME following their
first cataract operation should be counseled about the risks of developing the
condition in the contralateral eye, despite prophylactic measures.