title: A Case of Acute Bilateral Irvine-Gass Syndrome following Uncomplicated Phacoemulsification, Demonstrated with Optical Coherence Tomography.
abstract: OBJECTIVE
  To report a case of acute bilateral Irvine-Gass syndrome.
  
  
  METHODS
  This is an observational case report.
  
  
  RESULTS
  An 82-year-old man with no significant ocular history developed postsurgical pseudophakic cystoid macular edema (CME; Irvine-Gass syndrome) on consecutive phacoemulsification cataract surgeries. His initial first-eye (left) CME developed 25 days after surgery and was managed with topical preparations of dexamethasone 0.1% and ketorolac 0.4%, in addition to a routine post-cataract surgery drop regime. His left CME resolved completely on optical coherence tomography (OCT) by day 100, and he subsequently (after extensive discussion of CME risks) underwent cataract surgery on his right eye. He was commenced prophylactically on dexamethasone, ketorolac and oral indomethacin 25 mg t.d.s. immediately after surgery; however, he later developed CME (OD) on day 32 postoperatively. Within 6 months, he achieved complete resolution of his CME in both eyes. His clinical course was documented with serial OCT studies.
  
  
  CONCLUSIONS
  Irvine-Gass syndrome remains an important differential diagnosis in the evaluation of blurred vision after cataract surgery, despite decreasing incidence. Those who experience CME following their first cataract operation should be counseled about the risks of developing the condition in the contralateral eye, despite prophylactic measures.
authors.affiliation: Parke Street Specialist Centre, Katoomba, N.S.W., Australia.
authors.forename: Melissa K
authors.initials: MK
authors.lastname: Shields
authors.affiliation: Parke Street Specialist Centre, Katoomba, N.S.W., Australia.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Adler
authors.affiliation: Parke Street Specialist Centre, Katoomba, N.S.W., Australia.
authors.forename: Dujon R W
authors.initials: DR
authors.lastname: Fuzzard
authors.affiliation: Parke Street Specialist Centre, Katoomba, N.S.W., Australia.
authors.forename: Rajeeve
authors.initials: R
authors.lastname: Chalasani
authors.affiliation: Parke Street Specialist Centre, Katoomba, N.S.W., Australia.
authors.forename: Joanne M Y
authors.initials: JM
authors.lastname: Teong
keywords: Cataract surgery; Cystoid macular edema, bilateral; Irvine-Gass syndrome; Optical coherence tomography