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Irvine-Gass syndrome, which describes visual loss after cataract surgery as a result of cystoid macular oedema (CMO), typically produces petalloid leakage around the fovea on fluorescein angiography (FA) often associated with late hyperfluorescence of the optic disc.1 Recently, optical coherence tomography (OCT) has confirmed the presence of perifoveal cystic spaces in vivo, consistent with histological specimens with CMO. OCT is increasingly used as a first test, before FA, for diagnosing unexplained visual loss after cataract surgery. Here we report a case of Irvine-Gass syndrome that demonstrated perifoveal leakage and late optic disc staining on FA, whose predominant OCT finding was a localised foveolar detachment. Isolated foveal detachment has been described in diabetic …
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