title: Natural course of photic maculopathy secondary to uncomplicated cataract surgery.
abstract: We report on a 36-year-old man who developed photic maculopathy in the left eye shortly after uncomplicated cataract surgery. The visual acuity (VA) of the left eye was 6/39 and spectral domain optical coherence tomography (SD-OCT), performed one week after surgery, revealed a hyporeflective space in the outer retina (a 'partial-thickness hole') at the fovea. Microperimetry showed a relative central scotoma and multifocal electroretinogram (ERG) showed reduced responses within the central 10°. Two months later, VA in the felt eye improved to 6/6 and SD-OCT showed an almost complete resolution of the 'partial-thickness hole'. Microperimetry showed the resolution of the relative scotoma at the fovea and multifocal ERG showed improved responses within the central 10°. SD-OCT, microperimetry and multifocal ERG are useful tools in the diagnosis and follow-up of photic maculopathy after uncomplicated cataract surgery. Its natural history may be characterised by resolution of both morphological and functional changes shortly after surgery.
authors: Department of Ophthalmology, University Vita Salute San Raffaele, Milan, Italy. giuseppe.querques@hotmail.it.
authors: Lea
authors: L
authors: Querques
authors: Giuseppe
authors: G
authors: Querques
authors: Maria Lucia
authors: ML
authors: Cascavilla
authors: Giacinto
authors: G
authors: Triolo
authors: Rosangela
authors: R
authors: Lattanzio
authors: Ugo
authors: U
authors: Introini
authors: Francesco
authors: F
authors: Bandello
mesh_terms: D000328:Adult; D002387:Cataract Extraction / Q000009:adverse effects*; D006801:Humans; D008027:Light / Q000009:adverse effects*; D008266:Macula Lutea / Q000528:radiation effects*; D008297:Male; D012164:Retinal Diseases / Q000209:etiology*; D041623:Tomography, Optical Coherence
keywords: cataract; microperimetry; multifocal ERG; photic maculopathy; solar maculopathy; spectral domain optical coherence tomography; surgery