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