Sudden visual loss after uneventful cataract surgery: Snuff syndrome.

J Cataract Refract Surg

Department of Ophthalmology, Prince of Wales Hospital, Randwick, The University of New South Wales, Sydney, Chatswood New South Wales, Australia.

Published: November 2004

AI Article Synopsis

  • The patient experienced snuff syndrome, a rare complication, just one day after having routine cataract surgery despite having a successful first eye surgery.
  • The patient had pseudoexfoliation syndrome but normal intraocular pressure managed effectively with medication and previous treatment.
  • An investigation into this case and a study of 1,000 other cataract surgeries did not reveal any identifiable cause for the unexpected vision decline in the left eye.

Article Abstract

We describe a case in which the patient had routine, uneventful cataract surgery and developed snuff syndrome on day 1 postoperatively. The patient had pseudoexfoliation syndrome and normal intraocular pressure that was well controlled by timolol and previous laser trabeculoplasty. Although the visual result had been good after surgery in the first (right) eye with a best corrected visual acuity (BCVA) of 6/5, this adverse event, which decreased the BCVA in the left eye from 6/24 preoperatively to hand movements postoperatively, was unexpected. Systemic evaluation failed to identify a specific cause. Data were collected prospectively on 1000 subsequent, consecutive cases of cataract surgery, but we were unable to find pathogenetic data on this occurrence.

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Source
http://dx.doi.org/10.1016/j.jcrs.2004.06.023DOI Listing

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