History / Objective Data
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This case was graciously donated by Michael Gerstner, OD of the Southern College of Optometry in Memphis. My thanks go to Dr. Gerstner!
A 61 y/o black female presented with complaints of reduced vision in both eyes. She had a positive history of diabetes with current control via Insulin. She also reported hypertension and congestive heart failure. Accupril, Lanoxin, and dialysis were part of her treatment regimen.
Best corrected vision was 20/50 in both eyes. Cataracts were found and surgery was performed on the right eye. No other ocular abnormalities were found prior to the surgery, including diabetic retinopathy.
Post-op findings on day one were normal. But at 12 days, the patient returned to the clinic with ocular complaints of reduced vision, pain, redness, and photophobia. Vision had dropped. Her corneas were edematous, and she reported nausea. Her biomicroscopic findings can be seen here.
What is this condition and how do you think the patient was managed?
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Walt Mayo, OD
Technology Director
Southern Council of Optometry
PO Drawer L / 400 Marina Drive
Georgetown, South Carolina 29442
WK: 803/546-8421
HM: 803/650-0140
FAX: 803/546-1173
Email: waltmayo@sccoast.net