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Phacoanaphylactic uveitis in pseudophakia



Phacoanaphylactic uveitis in pseudophakia



Folia Ophthalmologica Japonica 38(4): 607



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.

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Accession: 006092070

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