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Pseudophakic phacoanaphylactic endophthalmitis
Ophthalmic Surgery
|April 1, 1986
Summary
Phacoanaphylactic endophthalmitis, a severe inflammation after cataract surgery, can be effectively treated. Total posterior capsular excision alongside lens removal offers a favorable outcome for this condition.
Area of Science:
- Ophthalmology
- Surgical complications
Background:
- Phacoanaphylactic endophthalmitis is a rare but serious inflammatory reaction following cataract surgery.
- It can occur after the use of intraocular lenses (IOLs) and incomplete removal of lens cortex.
Observation:
- Two cases of pseudophakic phacoanaphylactic endophthalmitis were observed.
- Both cases involved inflammation secondary to retained lens material and IOLs.
Findings:
- A favorable response was achieved through total posterior capsulotomy.
- Surgical intervention included removal of the intraocular lens and remaining cortical material.
Implications:
- Complete excision of the posterior capsule, including anterior capsular flaps and entrapped cortex, is crucial for managing phacoanaphylactic endophthalmitis.
- This surgical approach may prevent or mitigate severe inflammatory responses post-cataract surgery.