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ISSN 1561-3070 (Electronic)

2013, Number 2

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Rev Cub Oftal 2013; 26 (2)

Nonarteritic anterior ischemic optic neuropathy masquerading as macular edema after cataract surgery

Rodríguez MY, Juvier RT, Pola AL, Pérez GE, Suñet ÁAM, Rúa MR

Language: Spanish
References: 12
Page: 352-357
PDF size: 98.20 Kb.


ABSTRACT

Introduction: nonarteritic anterior ischemic optic neuropathy and macular edema are frequent causes of loss of vision after uncomplicated ocular surgery.
Objective: to identify these two conditions is very important since the behaviors to be adopted and the prognosis are quite different.
Clinical case: a 74 years-old female patient with acute loss of vision during the postoperative period of a cataract surgery. The Retinal Service classified it as macular edema which had to be treated with steroid therapy, but her vision did not improve. After the corresponding neurophthalmologic study, it is confirmed that there is partial optic atrophy secondary to nonarteritic anterior ischemic optic neuropathy.
Conclusions: the association of these events is uncommon; however under these circumstances, the macular edema that may occur in the optic nerve ischemia can masquerade as inflammatory reaction to surgery.


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