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Pseudophaco--anaphylactic endophthalmitis? P.M.M.A. related
Acta Ophthalmologica. Supplement
|January 1, 1985
Summary
Pseudophacoanaphylactic endophthalmitis occurred in a patient with combined eye surgery and injury. The reaction was linked to the polymethylmethacrylate (P.M.M.A.) lens optic, not the polypropylene loops.
Area of Science:
- Ophthalmology
- Pathology
- Ophthalmic Surgery
Background:
- A patient underwent combined trabeculectomy, extracapsular cataract extraction, and posterior chamber lens implantation.
- The patient sustained a perforating eye injury shortly after the operation, leading to sympathetic ophthalmitis.
Observation:
- Histological examination revealed typical sympathetic ophthalmitis findings.
- A distinct pseudophacoanaphylactic endophthalmitis reaction was observed in the affected eye.
Findings:
- The pseudophacoanaphylactic reaction was strongly associated with the polymethylmethacrylate (P.M.M.A.) optic of the intraocular lens.
- The polypropylene loops of the "in-the-bag" lens showed no significant histological inflammatory response.
Implications:
- This case highlights a specific inflammatory reaction to P.M.M.A. intraocular lens material in the context of combined ocular surgery and injury.
- Understanding these pathological responses is crucial for evaluating intraocular lens materials and managing complex ophthalmic cases.
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