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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Long-lasting disabling photophobia after uneventful cataract surgery
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Available online 16 July 2021
Long-lasting disabling photophobia after uneventful cataract surgery
Fotofobia invalidante de larga duración tras cirugía no complicada de cataratas
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D. Pérez Silgueroa,b,
Corresponding author
dpsilguero@gmail.com

Corresponding author.
, M.Á. Pérez Silgueroa,c, S. Pérez-Silguero Jiméneza, P. Encinas Pisaa
a Clínica Oftalmológica Pérez Silguero, Las Palmas de Gran Canaria, Spain
b Fundación Hospitalaria San José, Las Palmas de Gran Canaria, Spain
c Hospital La Paloma, Las Palmas de Gran Canaria, Spain
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Abstract

The case concerns a 54-year-old woman, with a history of fibromyalgia and normal preoperative ocular and systemic study, who presented with a long-lasting disabling photophobia, after sequential bilateral cataract surgery without complications. Photophobia was accompanied by good uncorrected VA, with no pain or subjective eye discomfort, without migraine or indicators of psychic conflict. It was refractory to any prescribed treatment of the ocular surface, finally responding to oral anticonvulsants (carbamazepine) that are frequently used in neuropathic pain. To the best of our knowledge this is the first reported case of a long-lasting disabling photophobia without pain and good VA after cataract surgery.

Keywords:
Cataract surgery
Fibromyalgia
Photophobia
Neuropathic pain
Resumen

Paciente mujer, de 54 años, con antecedente de fibromialgia y estudio preoperatorio ocular y sistémico normal, que presenta fotofobia invalidante de larga duración, tras cirugía bilateral secuencial de cataratas sin complicaciones. La fotofobia se acompañaba de buena AV no corregida, sin dolor ni molestias subjetivas oculares, y sin migraña ni indicadores de conflictos psíquicos. Fue refractaria a cualquier tratamiento de la superficie ocular pautado, respondiendo finalmente a anticonvulsivantes orales (carbamacepina) frecuentemente utilizados en dolor de tipo neuropático. Según nuestro conocimiento, es el único caso descrito de fotofobia invalidante de larga duración sin dolor y buena AV tras cirugía de cataratas.

Palabras clave:
Cirugía de catarata
Fibromialgia
Fotofobia
Dolor neuropático

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