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CATARACT SURGERY
HEMORRHAGE
SYSTEMIC ANTICOAGULATION
• Most cases present within 3–10 days of surgery, with a median of 6 days,
as reported in the Endophthalmitis Vitrectomy Study (EVS)
• A significant percentage (22%) of cases presented 2–6 weeks after surgery.
ENDOPHTHALMITIS
• Irvine-Gass Syndrome
• Common cause of post-operative decreased vision
• Increased perifoveal capillary permeability with accumulation of fluid in the inner nuclear
and outer plexiform layers
• often associated with intraocular inflammation
CYSTOID MACULAR EDEMA
• Risk Factors
• Use of topical epinephrine and dipivefrin for aphakic glaucoma
• Prostaglandin analogues in patients who undergone recent intraocular surgery
• Preoperative risk factors:
• Coexisting uveitis
• Preexisting epiretinal membrane
• Vitreomacular traction
• Diabetes mellitus and diabetic retinopathy
• Previous retinal vein occlusion
• Retinitis pigmentosa
• Previous CME
CYSTOID MACULAR EDEMA