Unexpected Poor Vision within 24 h of Uneventful Phacoemulsification Surgery—A Review

Review on day one post uneventful phacoemulsification surgery is no longer standard practice due to the infrequency of complications when using modern cataract removal techniques. Clinicians are therefore likely to be unfamiliar with the potential causes of reduced vision when presented with a patie...

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Autores principales: Rosen, Harry, Vernon, Stephen A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9820923/
https://www.ncbi.nlm.nih.gov/pubmed/36614846
http://dx.doi.org/10.3390/jcm12010048
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author Rosen, Harry
Vernon, Stephen A.
author_facet Rosen, Harry
Vernon, Stephen A.
author_sort Rosen, Harry
collection PubMed
description Review on day one post uneventful phacoemulsification surgery is no longer standard practice due to the infrequency of complications when using modern cataract removal techniques. Clinicians are therefore likely to be unfamiliar with the potential causes of reduced vision when presented with a patient in the immediate postoperative period. The purpose of this review is to discuss the various differential causes of early visual loss, for the benefit of clinicians presented with similar patients in emergency care, with the use of an illustrative clinical case of paracentral acute middle maculopathy (PAMM), which recently presented to the authors. A thorough literature search on Google Scholar was conducted, and only causes of visual loss that would manifest within 24 h postoperatively were included. Complications are inherently rare in this period; however, various optical, anterior segment, lens-related and posterior segment causes have been identified and discussed. Front-line clinicians should be aware of these differentials with different mechanisms. PAMM remains to be the only cause of unexpected visual loss within this time frame that may have no abnormal findings on clinical examination.
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spelling pubmed-98209232023-01-07 Unexpected Poor Vision within 24 h of Uneventful Phacoemulsification Surgery—A Review Rosen, Harry Vernon, Stephen A. J Clin Med Review Review on day one post uneventful phacoemulsification surgery is no longer standard practice due to the infrequency of complications when using modern cataract removal techniques. Clinicians are therefore likely to be unfamiliar with the potential causes of reduced vision when presented with a patient in the immediate postoperative period. The purpose of this review is to discuss the various differential causes of early visual loss, for the benefit of clinicians presented with similar patients in emergency care, with the use of an illustrative clinical case of paracentral acute middle maculopathy (PAMM), which recently presented to the authors. A thorough literature search on Google Scholar was conducted, and only causes of visual loss that would manifest within 24 h postoperatively were included. Complications are inherently rare in this period; however, various optical, anterior segment, lens-related and posterior segment causes have been identified and discussed. Front-line clinicians should be aware of these differentials with different mechanisms. PAMM remains to be the only cause of unexpected visual loss within this time frame that may have no abnormal findings on clinical examination. MDPI 2022-12-21 /pmc/articles/PMC9820923/ /pubmed/36614846 http://dx.doi.org/10.3390/jcm12010048 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Rosen, Harry
Vernon, Stephen A.
Unexpected Poor Vision within 24 h of Uneventful Phacoemulsification Surgery—A Review
title Unexpected Poor Vision within 24 h of Uneventful Phacoemulsification Surgery—A Review
title_full Unexpected Poor Vision within 24 h of Uneventful Phacoemulsification Surgery—A Review
title_fullStr Unexpected Poor Vision within 24 h of Uneventful Phacoemulsification Surgery—A Review
title_full_unstemmed Unexpected Poor Vision within 24 h of Uneventful Phacoemulsification Surgery—A Review
title_short Unexpected Poor Vision within 24 h of Uneventful Phacoemulsification Surgery—A Review
title_sort unexpected poor vision within 24 h of uneventful phacoemulsification surgery—a review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9820923/
https://www.ncbi.nlm.nih.gov/pubmed/36614846
http://dx.doi.org/10.3390/jcm12010048
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