Pseudophakic serous maculopathy.

A 73-year-old woman experienced a serous macular detachment following an uncomplicated planned extracapsular cataract extraction with placement of a posterior chamber intraocular lens with general anesthesia. To our knowledge, this complication of cataract surgery, with or without lens implantation, has not been previously reported. The specific cause of this chorioretinopathy is not clear. Breakdown of the retinal pigment epithelium-Bruch's membrane-choriocapillaris barrier due to surgical procedure would appear to be the most likely cause. The macular detachment gradually resolved, leaving the patient with excellent visual acuity.