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Phacoanaphylactic uveitis in pseudophakia

Folia Ophthalmologica Japonica 38(4): 607

Phacoanaphylactic uveitis in pseudophakia

We experienced 3 cases of phacoanaphylactic uveitis in the pseudophakic eye. The first case underwent IOL extraction with vitrectomy, and the uveitis subsided. However, retinal detachment developed. The second case underwent IOL and total capsule removal, with ACL implantation. The uveitis disappeared and the patient recovered good visual acuity. As an ACL was implanted in the third case, the uveitis was improved by removing residual cortex using a vitrectomy instrument. Phacoanaphylactic uveitis is resistant to any drug therapy, including steroids. The only treatment is to remove residual cortex. We report a means of removing total cortex, together with IOL, in pseudophakic phacoanaphylaxy.

Accession: 006092070

Related references

Blodi, F.C., 1959: Sympathetic uveitis as an allergic phenomenon; with a study of its association with phacoanaphylactic uveitis and a report on the pathologic findings in sympathizing eyes. Transactions - American Academy of Ophthalmology and Otolaryngology. American Academy of Ophthalmology and Otolaryngology 63: 642-649

Liu, S.B., 1985: Clinical immunopathology of phacoanaphylactic uveitis. Chinese Journal of Ophthalmology 21(4): 211-213

Wade, A.; Ndiaye, M.R.; Diallo, J.S., 1983: Phacoanaphylactic uveitis. Apropos of a case. Dakar Medical 28(2): 351-354

von Domarus, D.; Böhnke, M.; Platzer, R., 1985: Phacoanaphylactic uveitis following EC cataract extraction. Fortschritte der Ophthalmologie 82(2): 149-151

Shimizu K.; Kinoshita N., 1987: 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...

Pfleghaar, S., 1989: Histology of lens-induced uveitis (phacoanaphylactic endophthalmitis) in dogs, cats, horses and rabbits. Between 1970 and 1988, 32 cases of lens-induced uveitis were recorded out of 565 eyes examined histologically at the Munich Veterinary Faculty, comprising 13 in dogs, 10 in cats, 8 in rabbits and one in a horse. No case had been diagnosed clinical...

Abrahams, I.W., 1985: Diagnosis and surgical management of phacoanaphylactic uveitis following extracapsular cataract extraction with intraocular lens implantation. One year after a successful extracapsular cataract extraction with posterior chamber lens implantation of a Cilco Kratz modified J-loop lens, the patient, a 79-year-old white female, developed a severe granulomatous uveitis unresponsive to topical...

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Hodes, B.L.; Stern, G., 1976: Phacoanaphylactic endophthalmitis: echographic diagnosis of phacoanaphylactic endophthalmitis. A sixty-year-old black diabetic female developed a severe postoperative endophthalmitis eight days after unplanned extracapsular cataract surgery. Gram stain of a diagnostic vitreous aspirate showed no organisms, and culture of the aspirate was ne...

Praeger, D.L., 1979: Updated concepts in extracapsular pseudophakia: posterior chamber pseudophakia. Some concepts regarding posterior chamber pseudophakia have been set forth. Clearly, this is still investigational, and it is for that reason that I would urge the readers to exercise great judgement and wait for the results of laboratory testing...