Work

Acute serous macular detachment with intraretinal edema after posterior-chamber phakic lens implantation:A case report

Year: 2025

Type: article

Abstract: • Acute serous macular detachment can occur after ICL implantation, although it is rare. • Off-label intracameral cefuroxime use in ICL surgery may lead to macular complications. • Laser photocoagulation may cause vitreoretinal traction, which can persist for months and increase the risk of macular complications. • Surgical timing after laser photocoagulation should be carefully evaluated to minimize the risk of complications in refractive surgeries. This report presents a case of acute serous macular detachment and intraretinal edema following Implantable Collamer Lens implantation in a 27-year-old female, emphasizing the importance of surgical timing and the cautious use of off-label drugs. A 27-year-old female underwent Implantable Collamer Lens implantation after prophylactic laser photocoagulation. At the conclusion of the surgery, intracameral cefuroxime, typically used in cataract surgeries, was administered off-label. On the first postoperative day, the patient developed acute serous macular detachment and intraretinal edema in the left eye. Through targeted medical interventions, complete resolution of the retinal changes was achieved, and the patient regained normal vision at the three-month follow-up. Laser photocoagulation may have contributed to macular detachment, as post-laser vitreoretinal traction can persist for months. The off-label use of intracameral cefuroxime also requires caution due to potential postoperative complications. This case highlights the importance of careful evaluation of surgical timing after laser treatments and cautious use of off-labelintracameral medications. Surgeons should consider delaying surgery for at least two months after a re-examination of retinal status post-laser treatment to reduce the risk of complications.

Source: Photodiagnosis and Photodynamic Therapy

DOI: 10.1016/j.pdpdt.2025.105273

Authors: Xue Li, Yongyi Niu

Institutions: Foshan Second People's Hospital, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial People's Hospital

Language: English

Topic: Retinal and Macular Surgery

Subfield: Radiology, Nuclear Medicine and Imaging

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,610