Evidence map›Paper›PMID 26034486›Full record

ArticleCase reports in ophthalmology

A Case of Acute Bilateral Irvine-Gass Syndrome following Uncomplicated Phacoemulsification, Demonstrated with Optical Coherence Tomography.

Melissa K Shields, Paul A Adler, Dujon R W Fuzzard, Rajeeve Chalasani, Joanne M Y Teong

Abstract readCase Reports
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Article in Case reports in ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Impact of allergy and atopy on the risk of pseudophakic cystoid macular edema.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2016
    Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Melissa K ShieldsParke Street Specialist Centre, Katoomba, N.S.W., Australia.
Paul A AdlerParke Street Specialist Centre, Katoomba, N.S.W., Australia.
Dujon R W FuzzardParke Street Specialist Centre, Katoomba, N.S.W., Australia.
Rajeeve ChalasaniParke Street Specialist Centre, Katoomba, N.S.W., Australia.
Joanne M Y TeongParke Street Specialist Centre, Katoomba, N.S.W., Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report a case of acute bilateral Irvine-Gass syndrome.

methodsThis is an observational case report.

resultsAn 82-year-old man with no significant ocular history developed postsurgical pseudophakic cystoid macular edema (CME; Irvine-Gass syndrome) on consecutive phacoemulsification cataract surgeries. His initial first-eye (left) CME developed 25 days after surgery and was managed with topical preparations of dexamethasone 0.1% and ketorolac 0.4%, in addition to a routine post-cataract surgery drop regime. His left CME resolved completely on optical coherence tomography (OCT) by day 100, and he subsequently (after extensive discussion of CME risks) underwent cataract surgery on his right eye. He was commenced prophylactically on dexamethasone, ketorolac and oral indomethacin 25 mg t.d.s. immediately after surgery; however, he later developed CME (OD) on day 32 postoperatively. Within 6 months, he achieved complete resolution of his CME in both eyes. His clinical course was documented with serial OCT studies.

conclusionIrvine-Gass syndrome remains an important differential diagnosis in the evaluation of blurred vision after cataract surgery, despite decreasing incidence. Those who experience CME following their first cataract operation should be counseled about the risks of developing the condition in the contralateral eye, despite prophylactic measures.

Indexed as

Cataract surgeryCystoid macular edema, bilateralIrvine-Gass syndromeOptical coherence tomography

Identifiers

PMID26034486
PMCPMC4448057

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