Case Report: Retained Lens Fragment in the Anterior Chamber 32 Years after Cataract Surgery

Abstract

A 73-year-old Asian male presented to the eye clinic reporting a sudden onset of redness, irritation, and light sensitivity of the right eye 32 years after cataract surgery. While retained lens fragment in the anterior segment is an uncommon complication of cataract surgery, this case highlights a unique complication that should be considered as a differential diagnosis for cases of post-operational cataract surgery. It is important to consider a retained lens fragment as a differential when examining pseudophakic patients. Retained lens fragments can present weeks to years after cataract surgery with the more chronic cases secondary to nuclear fragments. Topical medications such as corticosteroids, non-steroidal anti- inflammatories, and cycloplegics can be used in treatment of the acute antiinflammatory event. If persistent inflammation and/or cystoid macular edema becomes an issue, management with subspecialty ophthalmology to remove the lens fragment is warranted. This case represents the longest time in literature between cataract surgery and the appearance of the retained lens fragment. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/case-report-retained-lens-fragment-in-the-anterior-chamber-32-years-after-cataract-surgery) Please check COPE course expiry dates prior to enrollment. The COPE course test must be taken before the course expiry date.