Hyperacute iris neovascularization following cataract surgery. Issue 27 (8th July 2022)

• Record Type: Journal Article
• Authors: Sim, Ha Eun; Hwang, Je Hyung
• Is Part Of: Medicine. Volume 101:Issue 27(2022)
• Page Start: e29356
• Publication Date: 2022-07-08
• Subjects: cataract surgery -- hemi-CRVO -- iris neovascularization; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000029356
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract : Rationale: We describe a case of acute neovascularization of the iris after uneventful cataract surgery. Patient concerns: A 78-year-old man visited our clinic for cataract surgery and glaucoma management. Diagnoses: The patient underwent bilateral laser iridotomy 4 years ago. On ocular examination, the best-corrected visual acuity was no light perception in the right eye and 20/100 in the left eye. We observed pseudophakic bullous keratopathy in the right eye and cataracts and hemicentral retinal vein occlusion (CRVO) in the left eye. Interventions: The patient underwent cataract surgery in the left eye without complications. Outcomes: The day after surgery we observed 360° of neovascularization in the iris and aggravated hemi-CRVO with macular edema. Therefore, we administered intravitreal bevacizumab in the left eye, after which the iris neovascularization and macular edema improved. Lessons: Cataract surgery can rapidly aggravate hemi-CRVO and cause iris neovascularization, which is responsive to bevacizumab.