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  • Title: Natural course of photic maculopathy secondary to uncomplicated cataract surgery.
    Author: Querques L, Querques G, Cascavilla ML, Triolo G, Lattanzio R, Introini U, Bandello F.
    Journal: Clin Exp Optom; 2014 Mar; 97(2):175-7. PubMed ID: 23331278.
    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.
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