TITLE:
Postoperative Acute Bilateral Irvine-Gass Syndrome following Uncomplicated Phacoemulsification Surgery with Trifocal IOL—Two Case Reports
AUTHORS:
Ishtiaque Anwar, Sharah Rahman, Sofia Akhter, Shah Noor Hassan, Md. Sanwar Hossain, Siddiqur Rahman, Anisur Rahman
KEYWORDS:
Irvine-Gass Syndrome, Cystoid Macular Edema (CME), NSAID, Postoperative CME
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.12 No.1,
January
29,
2022
ABSTRACT: The case studies are about atypical bilateral, postoperative Cystoid Macular Edema (CME) in two patients who underwent bilateral uncomplicated pha- coemulsification surgery with a trifocal Intraocular Lens (IOL). In postoperative follow-up, both the cases presented with complaints of bilateral blurring of vision. Irvine-Gass syndrome has been diagnosed after evaluation of the retina by fundoscopy and OCT macula. Posterior subtenon steroid injection has been prescribed and given. Regular OCT examinations indicated substantial ede- ma improvement. Subsequent improvement in visual acuity was also noted in both cases. Cystoid macular edema can happen in any case irrespective of the quality of IOL. The visual outcome is satisfactorily responsive towards steroid medication.