Irvine syndrome (irvine-gass syndrome; hruby-irvine-gass syndrome)

General: Failing vision after uneventful cataract extraction; caused by spontaneous rupture of vi 212g61c treous face with vitreous adhesions to the wound followed by macular edema; no gender or race preference; more common in older adults; positive association with other systemic vascular disease; may follow Nd:YAG laser posterior capsulotomy.

Ocular: Failing improvement or decrease in visual acuity after cataract surgery, due to macular changes; permanent impairment if the condition is not restored before secondary degenerative changes occur; vitreous opacities; rupture of the hyaloid face (spontaneous); vitreous adhesions to the wound; cystoid macular edema; papilledema; optic atrophy.

Clinical: None.

Blair NP, Kim SH. Cystoid macular edema after ocular surgery. In: Albert DM, Jakobiec FA, eds. Principles and Practice of Ophthalmology, vol. III. Philadelphia: WB Saunders, 1994:488.

Gass JDM, Norton EWD. Cystoid macular edema and papilledema following cataract extraction. Arch Ophthalmol 1966; 76:646.

Irvine SR. A newly defined vitreous syndrome following cataract surgery. Am J Ophthalmol 1953; 36:599.

Jampol LM. Cystoid macular edema following cataract surgery. Arch Ophthalmol 1988; 106:894.

Naumann GOH, Seibel W. Surgical revision of vitreous and ins-incarceration in persisting cystoid maculopathy (Hruby-Irvine-Gass syndrome). Dev Ophthalmol 1985; 11:181-l87.