Cystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty

Alessandro Bagnis1, Sergio Claudio Sacc&agrave;2, Michele Iester1, Carlo Enrico Traverso11Centro di Ricerca Clinica e Laboratorio per il Glaucoma e la Cornea, Clinica Oculistica Di NOG, University of Genova, 2Division of Ophthalmology, St. Martino Hospital, Genova, ItalyAbstract: This report...

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Autores principales:	Bagnis A, Sacc&agrave; SC, Iester M, Traverso CE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3b5dd1d3d8e9411d8f06ad74bed5f8c7
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spelling	oai:doaj.org-article:3b5dd1d3d8e9411d8f06ad74bed5f8c72021-12-02T07:57:06ZCystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty1177-54671177-5483https://doaj.org/article/3b5dd1d3d8e9411d8f06ad74bed5f8c72011-04-01T00:00:00Zhttp://www.dovepress.com/cystoid-macular-edema-after-cataract-surgery-in-a-patient-with-previou-a7117https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Alessandro Bagnis1, Sergio Claudio Sacc&agrave;2, Michele Iester1, Carlo Enrico Traverso11Centro di Ricerca Clinica e Laboratorio per il Glaucoma e la Cornea, Clinica Oculistica Di NOG, University of Genova, 2Division of Ophthalmology, St. Martino Hospital, Genova, ItalyAbstract: This report describes a patient who had exaggerated responses to different inflammatory stimuli represented by laser and incisional surgery, respectively. These separate episodes should have a common link represented by a genetic predisposition to abnormal release of proinflammatory mediators within the eye. This 51-year old Hispanic woman showed a narrow iridocorneal angle with plateau iris configuration. Nd-YAG laser peripheral iridotomy was successfully performed to both eyes. No substantial changes in the iridotrabecular angle occurred despite patent iridotomies, thus confirming the diagnosis of plateau iris configuration. Argon laser iridoplasty was then performed to the right eye, while the left eye was scheduled for a later session. A severe inflammatory reaction within the anterior chamber developed after tapering of a one-week course of steroid therapy. Phacoemulsification of the lens was performed some months later when no signs of inflammation were detectable; no intraoperative complications occurred during surgery and an intraocular lens was placed. Cystoid macular edema developed four weeks after surgery despite no apparent risk factors, and resolved completely after anti-inflammatory medical therapy. Based on this case report, the unusual occurrence of severe iritis after laser treatment should be regarded as a risk factor for any other incisional or nonincisional procedures because it might indicate that the patient&#39;s ocular tissues are prone to release of abnormally elevated proinflammatory mediators. Although further studies are needed to confirm this predisposition, prophylactic adjunctive topical nonsteroidal anti-inflammatory drug administration after cataract surgery should be considered in such cases in order to prevent potentially sight-threatening conditions.Keywords: cystoid macular edema, inflammation, laser surgery, plateau iris configuration Bagnis ASacc&agrave; SCIester MTraverso CEDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 473-476 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Bagnis A Sacc&agrave; SC Iester M Traverso CE Cystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty
description	Alessandro Bagnis1, Sergio Claudio Sacc&agrave;2, Michele Iester1, Carlo Enrico Traverso11Centro di Ricerca Clinica e Laboratorio per il Glaucoma e la Cornea, Clinica Oculistica Di NOG, University of Genova, 2Division of Ophthalmology, St. Martino Hospital, Genova, ItalyAbstract: This report describes a patient who had exaggerated responses to different inflammatory stimuli represented by laser and incisional surgery, respectively. These separate episodes should have a common link represented by a genetic predisposition to abnormal release of proinflammatory mediators within the eye. This 51-year old Hispanic woman showed a narrow iridocorneal angle with plateau iris configuration. Nd-YAG laser peripheral iridotomy was successfully performed to both eyes. No substantial changes in the iridotrabecular angle occurred despite patent iridotomies, thus confirming the diagnosis of plateau iris configuration. Argon laser iridoplasty was then performed to the right eye, while the left eye was scheduled for a later session. A severe inflammatory reaction within the anterior chamber developed after tapering of a one-week course of steroid therapy. Phacoemulsification of the lens was performed some months later when no signs of inflammation were detectable; no intraoperative complications occurred during surgery and an intraocular lens was placed. Cystoid macular edema developed four weeks after surgery despite no apparent risk factors, and resolved completely after anti-inflammatory medical therapy. Based on this case report, the unusual occurrence of severe iritis after laser treatment should be regarded as a risk factor for any other incisional or nonincisional procedures because it might indicate that the patient&#39;s ocular tissues are prone to release of abnormally elevated proinflammatory mediators. Although further studies are needed to confirm this predisposition, prophylactic adjunctive topical nonsteroidal anti-inflammatory drug administration after cataract surgery should be considered in such cases in order to prevent potentially sight-threatening conditions.Keywords: cystoid macular edema, inflammation, laser surgery, plateau iris configuration
format	article
author	Bagnis A Sacc&agrave; SC Iester M Traverso CE
author_facet	Bagnis A Sacc&agrave; SC Iester M Traverso CE
author_sort	Bagnis A
title	Cystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty
title_short	Cystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty
title_full	Cystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty
title_fullStr	Cystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty
title_full_unstemmed	Cystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty
title_sort	cystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/3b5dd1d3d8e9411d8f06ad74bed5f8c7
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Cystoid macular edema after cataract surgery in a patient with previous severe iritis following argon laser peripheral iridoplasty

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