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Lens particle glaucoma occurring 15 years after cataract surgery
1Department of Ophthalmology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.
Korean Journal of Ophthalmology : KJO
|January 29, 2002
Summary
A patient experienced blurred vision and eye pain years after cataract surgery due to retained lens material. Surgical removal successfully restored vision and normalized intraocular pressure.
Area of Science:
- Ophthalmology
- Ocular Surgery
- Intraocular Pressure Management
Background:
- Cataract surgery can rarely lead to delayed complications.
- Retained lens fragments can cause secondary glaucoma and vision loss.
Observation:
- A 60-year-old male presented with sudden vision loss and ocular pain 15 years post-cataract surgery.
- High intraocular pressure (55 mmHg) and visible lens material in the anterior chamber were noted.
Findings:
- Surgical removal of lens material via irrigation and aspiration resolved the high intraocular pressure (IOP).
- Post-operative IOP normalized to 18 mmHg without medication, and visual acuity improved to 20/20.
- Microscopic examination revealed macrophages containing lens particles in the aqueous humor.
Implications:
- This case highlights a rare, late-onset complication of cataract surgery.
- Prompt surgical intervention is effective in managing retained lens fragment-induced glaucoma.
- Understanding the inflammatory response involving macrophages is crucial for managing such cases.