Phacoanaphylactic Endophthalmitis: A Rare Cause of Postoperative Intraocular Inflammation.
DOI:
https://doi.org/10.70672/5tn9mv51Keywords:
diabetes mellitus, cataract surgery, phacoanaphylactic endophthalmitis, lensectomy, vitrectomy surgeryAbstract
Phacoanaphylactic endophthalmitis (PE) is an uncommon and rare immune response to retained lens material after cataract surgery. This case involves a 71-year-old diabetic man who developed PE following a complicated cataract surgery with posterior capsule rupture (PCR) and retained lens fragments. The patient initially presented with mild postoperative inflammation, but eventually developed granulomatous uveitis, vitritis, and vasculitis.
The diagnosis was made based on clinical findings and intraoperative evidence of retained lens material during pars plana vitrectomy (PPV) and anterior chamber washout, which led to resolution of inflammation and improvement in vision, though anterior chamber and vitreous chamber tap were not performed. Early recognition and timely surgical intervention are crucial in managing PE, especially in diabetic patients prone to postoperative complications.
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