Acute transient macular detachment after uneventful cataract surgery in a highly myopic eye

• Main Authors: Tommaso Verdina, Tomaso Caporossi, Gian Maria Cavallini, Rodolfo Mastropasqua
• Format: Article
• Language: English
• Published: Elsevier 2021-06-01
• Series: American Journal of Ophthalmology Case Reports
• Subjects: Cataract; High myopia; Vitreomacular traction; Macular detachment
• Online Access: http://www.sciencedirect.com/science/article/pii/S2451993621001262

Purpose: We report a case of a highly myopic patient who presented a serous macular detachment at 24 hours after uncomplicated cataract surgery. Observations: Surprisingly, after six days from surgery, a reabsorption of the detachment was noticed and the macular area returned to be anatomically normal without any surgical intervention. This early postoperative complication could be caused by changes in the vitreoretinal interface and ocular fluid dynamics or to a rupture of blood-retinal barriers due to postoperative inflammation. Conclusions and importance: Our case reports on the occurrence of an early transient macular detachment after uneventful cataract surgery in a highly myopic eye. This finding suggests the importance of an OCT-based control in the immediate postoperative hours.