Acute serous macular detachment and cystoid macular edema after uncomplicated phacoemulsification using standard dose subconjunctival cefuroxime

作者：Kontos Andreas^*; Mitry Danny; Althauser Susanne; Jain Saurabh

来源：Cutaneous and Ocular Toxicology, 2014, 33(3): 233-234.

DOI：10.3109/15569527.2013.835817

• Phacoemulsification
• retinal toxicity
• serous detachment
• subconjunctival cefuroxime

Acute toxic serous macular detachment after cataract surgery is very rare, and has been described previously with the use of high concentrations of intra-cameral cefuroxime. We report a case of serous macular detachment and cystoid macular edema 1 day after uncomplicated phacoemulsification using standard dose subconjunctival cefuroxime at the end of surgery. Our case demonstrates that subconjunctival cefuroxime may cause retinal toxicity in a similar fashion to intra-cameral cefuroxime, possibly due to entry of the drug into the anterior chamber through the section or trans-scleral absorption. To our knowledge, this is the first report of this complication with subconjunctival administration of cefuroxime.

• 出版日期2014-9