Publications

Authors:

Talli, Pietro Maria; Pedrotti, Emilio; Sacconi, Riccardo; Monterosso, Cristina; Caretti, Luigi

Title:

An anomalous foveal OCT-sign after posterior capsule rupture in cataract surgery: Complicated cataract surgery maculopathy

Year:

2021

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

A Stampa

Referee:

Sì

Name of journal:

European Journal of Ophthalmology

ISSN of journal:

1120-6721

N° Volume:

31

Number or Folder:

6

Page numbers:

NP41-NP44

Keyword:

cataract surgery; T-sign OCT sign; early stage macular hole; vitreo-macular traction

Short description of contents:

Purpose: To report a series of novel optical coherence tomography (SD-OCT) foveal abnormalities, that we called "T-sign," that were noticed after a complicated cataract surgery with posterior capsule rupture and vitreous loss. Methods: Retrospective case series of persistent foveal changes that incurred after anteroposterior vitreo-foveal traction secondary to phacoemulsification in presence of posterior capsule rupture. Results: The study included three eyes of three patients that incurred in complicated cataract surgery and intraoperative vitreo-foveal traction. During 8-month follow-up period peculiar abnormalities in fundus examination and in OCT scans were reported in all cases. Conclusion: Phacoemulsification in presence of posterior capsule rupture could induce a vitreo-foveal strain that could be transmitted to the cone outer segment tips (COST line) and inner-outer segment (IS/OS) junction. This focal stress is liable for "T-sign," a persistent SD-OCT abnormality that induce a visual impairment and a slight metamorphopsia in the fixation point. Summary statement: All over the world, more than 9.5 million cataract surgeries are completed each year.1 During surgery, many intraoperative complications could occur, and capsule rupture with vitreous loss is a frequent event. Phacoemulsification in presence of a wide posterior capsule rupture and vitreo-macular adhesion could induce a typical modification of the foveal structure and a permanent visual impairment.

Web page:

https://doi.org/10.1177/1120672120937661

Product ID:

115049

Handle IRIS:

11562/1020013

Last Modified:

November 9, 2022

Bibliographic citation:

Talli, Pietro Maria; Pedrotti, Emilio; Sacconi, Riccardo; Monterosso, Cristina; Caretti, Luigi, An anomalous foveal OCT-sign after posterior capsule rupture in cataract surgery: Complicated cataract surgery maculopathy «European Journal of Ophthalmology» , vol. 31 , n. 6 , 2021 , pp. NP41-NP44

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