Phakoanaphylaxis as a cause of granulomatous uveitis following extracapsular cataract surgery

Phakoanaphylaxis following modern extracapsular cataract surgery presents as a progressively severe granulomatous uveitis months after surgery. Two patients who developed pathologically confirmed phakoanaphylaxis following extracapsular surgery with posterior intraocular-lens insertion are presented. The evolution of the clinical picture is described, and the successful surgical therapy in each case is presented. It is important to recognize this cause of granulomatous uveitis for successful management of the problem.