Outer Retinal Ischemic Infarction—A Newly Recognized Complication of Cataract Extraction and Closed Vitrectomy: Part 1. A Case Report

J. Donald M. Gass, Richard Parrish

Research output: Contribution to journalArticle

29 Scopus citations


This report describes a peculiar syndrome occurring as a complication of cataract extraction. The syndrome is characterized initially by (1) acute loss of central and paracentral vision discovered usually on the first postoperative day; (2) diffuse and patchy whitening of the outer retinal layers in the posterior fundus; (3) normal angiographic retinal and choroidal appearance and circulation time; (4) a peculiar polygonal pattern of fluorescein staining of the pigment epithelium and outer retina in the area of retinal whitening, and followed later by (5) clearing of the retinal whitening and mottled changes in the pigment epithelium; (6) partial recovery of the central visual field; and (7) preservation of the intraocular pressure sufficient to obstruct choroidal blood flow occurring during the use of intraocular volume-reducing devices before surgery, during phakoemulsification or closed vitrectomy is postulated as the major cause of this complication.

Original languageEnglish (US)
Pages (from-to)1467-1471
Number of pages5
Issue number12
StatePublished - Jan 1 1982



  • Honan cuff
  • cataract surgery
  • choroidal vascular occlusion
  • complication
  • glaucoma
  • phakoemulsification
  • retinal ischemic infarction
  • syndrome
  • vitreous surgery

ASJC Scopus subject areas

  • Ophthalmology

Cite this