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Lens-Induced Uveitis Triggered by Intravitreal Injection 40 Years after Primary Congenital Cataract Surgery with
Sophia El Hamichi1,2, Rafael J Aguilar1, Veronica Kon Graversen1
1Miami Ocular Oncology and Retina, Miami, Florida, USA.
Case Reports in Ophthalmology
|August 11, 2020
Summary
A patient with diabetes mellitus type 1 experienced pseudo-endophthalmitis after intravitreal injections for macular edema. Surgical intervention led to significant visual recovery and improved eye function.
Area of Science:
- Ophthalmology
- Retinal diseases
- Surgical complications
Background:
- Congenital cataract surgery can lead to long-term complications such as aphakia and secondary glaucoma.
- Diabetes mellitus type 1 increases the risk of ocular complications, including diabetic macular edema.
Observation:
- A 42-year-old male with a history of bilateral congenital cataract surgery presented with complications including aphakia, secondary glaucoma, and diabetic macular edema.
- The patient developed acute pseudo-endophthalmitis in the left eye after multiple intravitreal injections for macular edema, characterized by decreased vision and anterior inflammation.
Findings:
- The pseudo-endophthalmitis was localized around the anterior residual lens capsule.
- Surgical removal of the residual capsule and primary vitrectomy repair resulted in significant visual improvement and functional recovery.
Implications:
- This case highlights the potential for severe intraocular inflammation following intravitreal injections in patients with complex ocular histories.
- Prompt surgical management can effectively treat pseudo-endophthalmitis and restore visual function in challenging cases.
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