Limits...
A retained lens fragment induced anterior uveitis and corneal edema 15 years after cataract surgery.

Kang HM, Park JW, Chung EJ - Korean J Ophthalmol (2011)

Bottom Line: Slit lamp examinations revealed a retained lens fragment in the inferior angle of the anterior chamber, with severe corneal edema and mild anterior uveitis.The corneal edema and uveitis subsided following surgical extraction of the lens fragment.A retained lens fragment should be considered as one of the causes of anterior uveitis in a pseudophakic patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Yonsei University Medical Center, Seoul, Korea.

ABSTRACT
A 60-year-old male was referred to the ophthalmologic clinic with aggravated anterior uveitis and corneal edema despite the use of topical and systemic steroids. He had undergone cataract surgery in both eyes 15 years previous. Slit lamp examinations revealed a retained lens fragment in the inferior angle of the anterior chamber, with severe corneal edema and mild anterior uveitis. The corneal edema and uveitis subsided following surgical extraction of the lens fragment. That a retained lens fragment caused symptomatic anterior uveitis with corneal edema 15 years after an uneventful cataract surgery is unique. A retained lens fragment should be considered as one of the causes of anterior uveitis in a pseudophakic patient.

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Related in: MedlinePlus

Specular pachymetry two months after removal of the lens fragment shows a significant decrease in endothelial cell count (458 cells/mm2) and loss of hexagonality in the right eye. (A) Right eye. (B) Left eye. R=right; C=photograph serial number; T=corneal thickness; N=no. of cells picked up; Min=minimum cell area; Max=maximum cell area; AVG=average cell area; SD=standard deviation; CV=coefficient of variation; CD=cell density; L=left.
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Figure 3: Specular pachymetry two months after removal of the lens fragment shows a significant decrease in endothelial cell count (458 cells/mm2) and loss of hexagonality in the right eye. (A) Right eye. (B) Left eye. R=right; C=photograph serial number; T=corneal thickness; N=no. of cells picked up; Min=minimum cell area; Max=maximum cell area; AVG=average cell area; SD=standard deviation; CV=coefficient of variation; CD=cell density; L=left.

Mentions: On postoperative day 1, OD corneal edema was slightly aggravated, and visual acuity was limited to a finger count at 10 cm. Measurement with NCT revealed an IOP of 15 mmHg. After one month, OD corneal edema was much improved, and visual acuity had increased to 0.4 by Snelln visual acuity chart. A two-month post-operative OD follow-up examination revealed reduced corneal edema and subsequent improvement of visual acuity to 0.7 by Snellen visual acuity chart (Fig. 2). Although the OD cornea was clear, an endothelial cell count showed 458 cells/mm2, and specular pachymetry revealed significant loss of hexagonality (Fig. 3A and 3B).


A retained lens fragment induced anterior uveitis and corneal edema 15 years after cataract surgery.

Kang HM, Park JW, Chung EJ - Korean J Ophthalmol (2011)

Specular pachymetry two months after removal of the lens fragment shows a significant decrease in endothelial cell count (458 cells/mm2) and loss of hexagonality in the right eye. (A) Right eye. (B) Left eye. R=right; C=photograph serial number; T=corneal thickness; N=no. of cells picked up; Min=minimum cell area; Max=maximum cell area; AVG=average cell area; SD=standard deviation; CV=coefficient of variation; CD=cell density; L=left.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3039198&req=5

Figure 3: Specular pachymetry two months after removal of the lens fragment shows a significant decrease in endothelial cell count (458 cells/mm2) and loss of hexagonality in the right eye. (A) Right eye. (B) Left eye. R=right; C=photograph serial number; T=corneal thickness; N=no. of cells picked up; Min=minimum cell area; Max=maximum cell area; AVG=average cell area; SD=standard deviation; CV=coefficient of variation; CD=cell density; L=left.
Mentions: On postoperative day 1, OD corneal edema was slightly aggravated, and visual acuity was limited to a finger count at 10 cm. Measurement with NCT revealed an IOP of 15 mmHg. After one month, OD corneal edema was much improved, and visual acuity had increased to 0.4 by Snelln visual acuity chart. A two-month post-operative OD follow-up examination revealed reduced corneal edema and subsequent improvement of visual acuity to 0.7 by Snellen visual acuity chart (Fig. 2). Although the OD cornea was clear, an endothelial cell count showed 458 cells/mm2, and specular pachymetry revealed significant loss of hexagonality (Fig. 3A and 3B).

Bottom Line: Slit lamp examinations revealed a retained lens fragment in the inferior angle of the anterior chamber, with severe corneal edema and mild anterior uveitis.The corneal edema and uveitis subsided following surgical extraction of the lens fragment.A retained lens fragment should be considered as one of the causes of anterior uveitis in a pseudophakic patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Yonsei University Medical Center, Seoul, Korea.

ABSTRACT
A 60-year-old male was referred to the ophthalmologic clinic with aggravated anterior uveitis and corneal edema despite the use of topical and systemic steroids. He had undergone cataract surgery in both eyes 15 years previous. Slit lamp examinations revealed a retained lens fragment in the inferior angle of the anterior chamber, with severe corneal edema and mild anterior uveitis. The corneal edema and uveitis subsided following surgical extraction of the lens fragment. That a retained lens fragment caused symptomatic anterior uveitis with corneal edema 15 years after an uneventful cataract surgery is unique. A retained lens fragment should be considered as one of the causes of anterior uveitis in a pseudophakic patient.

Show MeSH
Related in: MedlinePlus