Acute serous neuroepithelial detachment followinguncomplicated cataract surgery. Relationship with the volume of cefuroxime injected into the anterior chamber

• Autores: M. Giménez de la Linde, B. Giménez Alcántara, R. Barañano Alcaide
• Localización: Journal of Emmetropia: Journal of Cataract, Refractive and Corneal Surgery, ISSN-e 2171-4703, Vol. 7, Nº. 2, 2016, págs. 79-83
• Idioma: inglés
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• Resumen

  • PURPOSE: We present a new retinal condition following uncomplicated cataract surgery, and its relationship with the injection of cefuroxime at the correct concentration (0.1 mL/1 mg), but at a volume greater than 0.1 mL.

    SETTING: OFTALMOCOR. Ophthalmology and ocular surgery clinic. Cordoba, Spain.

    METHODS: A total of 364 patients were evaluated 1, 3 and 7 days after cataract surgery, performing optical coherence tomography (OCT) at each examination. We studied 162 patients who were given an intracameral injection of a standard cefuroxime solution (0.1 mL/1 mg) and a further 202 patients who were given an injection of the same cefuroxime solution, but without controlling the amount injected into the anterior chamber and irrigating the surface with the remaining solution.

    RESULTS: Th irty cases (≈15%) of serous neuroepithelial detachment (SND) and oedema in the outer layers of the retina were observed in the group of patients in whom the cefuroxime was injected in an uncontrolled manner, compared to none in the patient group in which 0.1 mL/1 mg was injected.

    CONCLUSION: An excessive volume of cefuroxime, albeit at the correct concentration (0.1 mL/1 mg), injected following uncomplicated cataract surgery can cause SND that resolves without any apparent side eff ects.