NANOSNET

A 63-year-old lady was referred because of optic disc edema that was first noticed a week after cataract surgery.

She had no complaints and the visual field was normal, but the eye fundus revealed a grade 3 optic disc edema with some peripapillary congested venes, as well as Paton lines temporal to the optic disc.

The axial length is 19.71 mm.

No RAPD.

Imaging and lab tests are negative.

She is now improving spontaneously.
Do you think this may have been an uveal effusion type of response to the surgery?

Sorry if this is a dumb question.

Michel

A fluorescein angiogram would be helpful to look for irvine-gass syndrome which can sometimes present as disc edema being the most prominent feature rather than CME.

OCT of the macula could be helpful to look for uveal effusion.

If IOP was high before surgery and low after you can also get decompression disc edema.

Best,

Drew

A 63-year-old lady was referred because of optic disc edema that was first noticed a week after cataract surgery.

She had no complaints and the visual field was normal, but the eye fundus revealed a grade 3 optic disc edema with some peripapillary congested venes, as well as Paton lines temporal to the optic disc.

The axial length is 19.71 mm.

No RAPD.

Imaging and lab tests are negative.

She is now improving spontaneously.
Do you think this may have been an uveal effusion type of response to the surgery?

Sorry if this is a dumb question.

Michel

A fluorescein angiogram would be helpful to look for irvine-gass syndrome which can sometimes present as disc edema being the most prominent feature rather than CME.

OCT of the macula could be helpful to look for uveal effusion.

If IOP was high before surgery and low after you can also get decompression disc edema.

Best,

Drew

A 63-year-old lady was referred because of optic disc edema that was first noticed a week after cataract surgery.

She had no complaints and the visual field was normal, but the eye fundus revealed a grade 3 optic disc edema with some peripapillary congested venes, as well as Paton lines temporal to the optic disc.

The axial length is 19.71 mm.

No RAPD.

Imaging and lab tests are negative.

She is now improving spontaneously.
Do you think this may have been an uveal effusion type of response to the surgery?

Sorry if this is a dumb question.

Michel

A 63-year-old lady was referred because of optic disc edema that was first noticed a week after cataract surgery.

She had no complaints and the visual field was normal, but the eye fundus revealed a grade 3 optic disc edema with some peripapillary congested venes, as well as Paton lines temporal to the optic disc.

The axial length is 19.71 mm.

No RAPD.

Imaging and lab tests are negative.

She is now improving spontaneously.
Do you think this may have been an uveal effusion type of response to the surgery?

Sorry if this is a dumb question.

Michel

A 63-year-old lady was referred because of optic disc edema that was first noticed a week after cataract surgery.

She had no complaints and the visual field was normal, but the eye fundus revealed a grade 3 optic disc edema with some peripapillary congested venes, as well as Paton lines temporal to the optic disc.

The axial length is 19.71 mm.

No RAPD.

Imaging and lab tests are negative.

She is now improving spontaneously.
Do you think this may have been an uveal effusion type of response to the surgery?

Sorry if this is a dumb question.

Michel

A 63-year-old lady was referred because of optic disc edema that was first noticed a week after cataract surgery.

She had no complaints and the visual field was normal, but the eye fundus revealed a grade 3 optic disc edema with some peripapillary congested venes, as well as Paton lines temporal to the optic disc.

The axial length is 19.71 mm.

No RAPD.

Imaging and lab tests are negative.

She is now improving spontaneously.
Do you think this may have been an uveal effusion type of response to the surgery?

Sorry if this is a dumb question.

Michel