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Hypopyon uveitis following band keratopathy removal in ankylosing spondylitis-a case report
Kalpana Babu1, K Ramachandra Murthy
1Vittala International Institute of Ophthalmology, Bangalore, India. kb_7375@yahoo.co.in
Purpose:
To report an interesting case of hypopyon uveitis following successive band keratopathy removal in both the eyes in a patient with ankylosing spondylitis.
Design:
Retrospective case report.
Results:
A 70-year-old Indian male with ankylosing spondylitis and a 40-year history of chronic anterior uveitis underwent band keratopathy removal (EDTA chelation) in both eyes at an interval of six months. On both occasions, he developed a severe hypopyon uveitis on the first postoperative day, which was successfully treated with topical and oral steroids.
Conclusion:
Any ocular procedure, even as trivial as band keratopathy removal, can elicit a severe uveitis in a chronically inflamed eye. The probable mechanisms are discussed.
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