Posters

An obvious diagnosis but one man’s dilemma

Poster Details

First Author: Z.Bile UK

Co Author(s):    M. Mohan   P. David                          

Abstract Details



Purpose:

Sudden loss of vision following a routine right phacoemulsification cataract surgery in a 69 year old male with history of high cholesterol

Setting:

Presented 6 weeks post operative with reduced vision of 6/24 in the right eye

Methods:

Patient examines and noted to have a right relative afferent papillary defect with reduced colour vision and a disc swelling with haemorrhages. Full blood count (FBC), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were normal

Results:

Non-Arteritic Anterior ischaemic Optic Neuropathy post cataract was diagnosed

Conclusions:

This condition in associated with phacoemulsification is very rare. Iiterature search yielded 3 case reports 74 years female with loss of vision on the 13th day post op phaco Fontes BM1, Jung LS, Soriano ES, Chicani CF Arq Bras Oftalmol. 2007 May-Jun;70(3):544-6. 53 years female with visual field defect on day one post op phacoemulsification with good vision Korean J Ophthalmol. 2010 Feb;24(1):57-61. doi: 10.3341/kjo.2010.24.1.57. Epub 2010 Feb 5. 74 years female with sudden visual loss after routine phacoemulsification cataract surgery https://www.ncbi.nlm.nih.gov/pubmed/27928410Neuroophthalmology. 2016 Jul 21;40(5):225-228. eCollection 2016. Conclusion: Coronary heart disease and arteriosclerosis were the associations noted in this patient

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