title: Acute serous macular detachment and edema after uncomplicated phacoemulsification: A case series.
abstract: OBJECTIVE
  To report cases of acute serous macular detachment and edema after uncomplicated phacoemulsification.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  We reviewed the clinical data of 5 patients who developed an acute serous macular detachment and edema after uncomplicated phacoemulsification with intraocular lens implantation by the same expert surgeon and without any complication during surgery.
  
  
  METHODS
  Best corrected visual acuity (BCVA), biomicroscopy, fundus examination, and optical coherence tomography were performed at 1, 3, 7, and 30 postoperative days.
  
  
  RESULTS
  On the first postoperative day, all eyes had low visual acuity (median 1.0 logMAR) despite normal postoperative appearance of the anterior segment. Optical coherence tomography showed serous macular detachment with intraretinal fluid accumulation. After treatment with oral indomethacin and acetazolamide, at 7 days, intraretinal and subretinal fluid were fully reabsorbed and BCVA improved (at least 0.1 logMAR). In the following 6 months, no eye had recurrence of macular edema.
  
  
  CONCLUSIONS
  Acute serous macular detachment and edema can occur after uncomplicated phacoemulsification. It should be considered in cases of low visual acuity during the early postoperative period.
authors.affiliation: Eye Clinic, University of Catania, Catania, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Longo
authors.affiliation: Eye Clinic, University of Catania, Catania, Italy. Electronic address: mreibaldi@libero.it.
authors.forename: Michele
authors.initials: M
authors.lastname: Reibaldi
authors.affiliation: Eye Clinic, University of Catania, Catania, Italy.
authors.forename: Maurizio G
authors.initials: MG
authors.lastname: Uva
authors.affiliation: Eye Clinic, University of Catania, Catania, Italy.
authors.forename: Vincenza
authors.initials: V
authors.lastname: Bonfiglio
authors.affiliation: Eye Clinic, University of Catania, Catania, Italy.
authors.forename: Maria Cordelia
authors.initials: MC
authors.lastname: Strano
authors.affiliation: Eye Clinic, University of Catania, Catania, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Russo
authors.affiliation: Eye Clinic, University of Catania, Catania, Italy.
authors.forename: Mario Damiano
authors.initials: MD
authors.lastname: Toro
authors.affiliation: Eye Clinic, University of Catania, Catania, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Bellino
authors.affiliation: Eye Clinic, University of Catania, Catania, Italy.
authors.forename: Teresio
authors.initials: T
authors.lastname: Avitabile
mesh_terms: D000208:Acute Disease; D000368:Aged; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008269:Macular Edema / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D012189:Retrospective Studies; D058471:Subretinal Fluid; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology