A Complication as a Toxic Retinopathy in a Case After Scleral-Fixed Intraocular Lens Implantation

Abstract

To report a complication similar a toxic retinopathy. The eye is aphakia due to trauma. The patient is a 70-year-old man. The anesthesia was applied as topically, with subtenon enjection. Two percent sodium hyaluronate (Protectalon 2%) was used as viscoelastic and for endophthalmitis prophylaxis sefuroksim aksetil 1 mg/ 0.1 cc was given at the end of operation. The patient complained blindness. Central retinal artery obstruction, central retinal vein occlusion, peripapiller and macular hemorrhage and optic atrophy were observed in fundus examination. After 6 months, corneal haze, especially at the upper side, occurred. It is clear that, this complication is a toxic retinopathy and a result of sequence of events. After all, a case which has resulted to such a complication due a surgery has never been reported previously.




J Med Cases. 2013;4(3):153-155
doi: https://doi.org/10.4021/jmc971w