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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

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