A woman in her 60s presented 1 week after undergoing cataract surgery in the right eye complaining of persistent blurry vision. Her ocular history was notable for a previous uncomplicated cataract surgery in the left eye that had a good visual outcome. On postoperative day 1, her visual acuity was 20/60 OD, attributed to mild corneal edema, with an intraocular pressure of 18 mm Hg. A dilated fundus examination was not performed. At postoperative week 1, the best-corrected visual acuity was 20/50 OD, her intraocular pressure was 17 mm Hg, and there was no afferent pupillary defect. The cornea was clear and there were trace anterior chamber cells. A dilated examination revealed multiple spots of retinal whitening with tiny intraretinal hemorrhages concentrated in the posterior pole (Figure, A). The patient was referred urgently for consultation by a retina specialist. Optical coherence tomography revealed intraretinal cystoid abnormalities in the macula and hyperreflective patches in the nerve fiber layer and inner nuclear layer (Figure, B).
Wolkow N, Oellers P, Miller JB. Retinal Whitening After Uncomplicated Cataract Surgery. JAMA Ophthalmol. 2017;135(10):1117–1118. doi:10.1001/jamaophthalmol.2017.1445