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Phacoanaphylactic uveitis following intraocular lens implantation






Rinsho Ganka 41(2): 113-118

Phacoanaphylactic uveitis following intraocular lens implantation

We observed three cases of presumed phacoanaphylactic uveitis following posterior chamber lens implantation surgery. The interval between cataract surgery and the onset of iritis was broadly variable: it occurred 2 days, 39 days and 29 days after intraocular lens implantation. We employed various therapeutic means in our cases with beneficial effects. The first case was treated by removal of the intraocular lens with simultaneous vitrectomy. The second case was treated by removal of the intraocular lens and the whole lens capsule with reimplantation of an anterior chamber lens. The third case was treated by removal of the residual lens cortex by pars plana approach. Phacoanaphylactic uveitis is resistant to almost all forms of conventional therapy including topical or systemic corticosteroid. Its sole rational treatment lies in surgical removal of the residual lens cortex, and not the intraocular lens. Once this uveitis develops in one eye, the fellow eye has to be treated by intracapsular cataract extraction.

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Accession: 006092069



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