Natural course of photic maculopathy secondary to uncomplicated cataract surgery

Lea Querques, Giuseppe Querques, Maria Lucia Cascavilla, Giacinto Triolo, Rosangela Lattanzio, Ugo Introini, Francesco Bandello

Research output: Contribution to journalArticle

Abstract

We report on a 36-year-old man who developed photic maculopathy in the left eye shortly after uncomplicated cataract surgery. The visual acuity (VA) of the left eye was 6/39 and spectral domain optical coherence tomography (SD-OCT), performed one week after surgery, revealed a hyporeflective space in the outer retina (a 'partial-thickness hole') at the fovea. Microperimetry showed a relative central scotoma and multifocal electroretinogram (ERG) showed reduced responses within the central 10°. Two months later, VA in the felt eye improved to 6/6 and SD-OCT showed an almost complete resolution of the 'partial-thickness hole'. Microperimetry showed the resolution of the relative scotoma at the fovea and multifocal ERG showed improved responses within the central 10°. SD-OCT, microperimetry and multifocal ERG are useful tools in the diagnosis and follow-up of photic maculopathy after uncomplicated cataract surgery. Its natural history may be characterised by resolution of both morphological and functional changes shortly after surgery.

Original languageEnglish
Pages (from-to)175-177
Number of pages3
JournalClinical and Experimental Optometry
Volume97
Issue number2
DOIs
Publication statusPublished - Mar 2014

Keywords

  • Cataract
  • Microperimetry
  • Multifocal ERG
  • Photic maculopathy
  • Solar maculopathy
  • Spectral domain optical coherence tomography
  • Surgery

ASJC Scopus subject areas

  • Ophthalmology
  • Optometry
  • Medicine(all)

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