Istanbul Eye Hospital I, Istanbul, Turkey.
J Cataract Refract Surg. 2010 Nov;36(11):1999-2002. doi: 10.1016/j.jcrs.2010.07.007.
We report 2 cases of serous macular detachment with intraretinal fluid accumulation that developed 1 day after uneventful phacoemulsification surgery. Because of a dilution error, both eyes received 2 mg/0.1 mL of intracameral cefuroxime at the end of surgery. On postoperative day 1, the corrected distance visual acuity (CDVA) was 20/400 in both eyes. Optical coherence tomography revealed intraretinal fluid accumulation with serous macular detachment, and central foveal thickness measurements were 909 μm and 559 μm in Case 1 and Case 2, respectively. Case 1 responded to systemic acetazolamide, but the condition recurred after cessation of therapy; it then responded to systemic steroid treatment. Case 2 responded to an intravitreal injection of 4 mg of triamcinolone and remained stable throughout the follow-up. The final CDVA was 20/20 in Case 1 and 20/25 in Case 2, and central foveal thickness measurements were 205 μm and 208 μm, respectively.
我们报告 2 例在白内障超声乳化术后 1 天发生的浆液性黄斑视网膜脱离伴视网膜内液体积聚。由于稀释错误，两只眼在手术结束时均接受了 2 毫克/0.1 毫升的眼内注射头孢呋辛。术后第 1 天，双眼矫正视力（CDVA）分别为 20/400。光学相干断层扫描显示视网膜内液体积聚伴浆液性黄斑视网膜脱离，病例 1 和病例 2 的中心凹视网膜厚度分别为 909μm 和 559μm。病例 1 对全身乙酰唑胺有反应，但停药后复发，随后对全身皮质类固醇治疗有反应。病例 2 对 4 毫克曲安奈德玻璃体腔注射有反应，整个随访期间保持稳定。病例 1 的最终 CDVA 为 20/20，病例 2 的最终 CDVA 为 20/25，中心凹视网膜厚度分别为 205μm 和 208μm。
