Lens & Cataract-Irvine Gass Syndrome

Irvine-Gass Syndrome

Fluid accumulation within the sensory retina in the macular area.
Common complication following uneventful cataract surgery.
Clinical features:
- Symptoms:
  - Decreased or blurred vision depends on the extent of the edema
  - Hyperopic refractive shift
- Signs:
  - Ophthalmoscope examination shows macular detail obscuration
  - Anterior segment vitreous strands or incarceration may be seen if cataract surgery was complicated with vitreous loss
Fluorescein angiography demonstrates typical petaloid appearance of fluorescein dye leakage during angiography.
Management:
- Observation
- Topical or sub-tenon's steroids
- Vitrectomy in refractory CME caused by vitreous incarceration

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