Sudden Visual Decline After Cataract Surgery: A Case of Irvine–Gass Syndrome
DOI:
https://doi.org/10.5281/zenodo.20675845Keywords:
Irvine–Gass syndrome, Pseudophakic cystoid macular oedema, Cataract surgery, Optical coherence tomography (OCT), Topical NSAIDsAbstract
Irvine–Gass syndrome (IGS), also known as pseudophakic cystoid macular oedema, is a common cause of decreased visual acuity following uncomplicated cataract surgery. We report the case of a 71-year-old male who developed cystoid macular oedema one month after cataract extraction with intraocular lens implantation. Diagnosis was based on reduced visual acuity and characteristic findings on OCT and fundus evaluation. The patient was managed conservatively with topical NSAIDs. This case highlights the importance of recognizing Irvine–Gass syndrome early to prevent persistent visual impairment.
References
Grzybowski A., Sikorski B.L., Ascano F.J., Huerva V. Pseudophakic cystoid macular edema. Clin. Interv. Ageing. 2016;11:1221–1229. doi: 10.2147/CIA.S111761
Irvine S.R. A newly defined vitreous syndrome following cataract surgery. Am. J. Ophthalmol. 1953;36:599–619. doi: 10.1016/0002-9394(53)90302-X
Gass J.D., Norton E.W. Cystoid macular oedema and papilledema following cataract extraction. A fluorescein fundoscopic and angiographic study. Arch. Ophthalmol. 1966;76:646–661. doi: 10.1001/archopht.1966.03850010648005
Irvine SR. A newly defined vitreous syndrome following cataract surgery; interpreted according to recent concepts of the structure of the vitreous; the Seventh Francis I. Proctor Lecture. Am J Ophthalmol 1953; 36:599-619.
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Copyright (c) 2026 Haziel Rynjah (Author)

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Authors retain copyright. Licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0/ (CC BY 4.0 deed)