Severe proptosis during cataract surgery.

Lauren Ton, Wanlin Zhang, Murtaza Saifee, Anushka Walia, Julius Oatts, Ying Han

Abstract readCase Reports

In one paragraph

Article in American journal of ophthalmology case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Lauren TonSchool of Medicine, University of California San Francisco, San Francisco, CA, USA.

Wanlin ZhangUniversity of California Berkeley, Berkeley, CA, USA.

Murtaza SaifeeDepartment of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.

Anushka WaliaSchool of Medicine, University of California San Francisco, San Francisco, CA, USA.

Julius OattsDepartment of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.

Ying HanDepartment of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: We report an unusual case of severe proptosis during phacoemulsification in a 58-year-old female with a history of Crohn's disease, bilateral chronic panuveitis, prior bilateral central retinal vein occlusion, and uncontrolled steroid-associated ocular hypertension requiring bilateral Ahmed glaucoma drainage device (GDD) implantation with pars plana tube placement. Observations: During phacoemulsification of the right eye, the patient developed significant proptosis. Following lid speculum removal and mechanical eyelid manipulation, the proptosis resolved within 20 minutes without requiring a lateral canthotomy. The patient had no permanent visual complications. Conclusions and Importance: The likely pathophysiology of intraoperative proptosis in this case was accumulation of fluid in the retrobulbar space due to a functioning Ahmed tube shunt with the tube placed in the vitreous cavity. To avoid this complication, concurrent cataract surgery may be considered for patients with pars plana tube placement GDD surgery.

Indexed as

Glaucoma drainage devicePhacoemulsificationProptosis

Identifiers

PMID37554298

DOI10.1016/j.ajoc.2023.101901

PMCPMC10405188

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