Abstract
A 101-year-old woman who underwent 4-flanged intrascleral fixation intraocular lens (ISF IOL) technique surgery in her left eye (elsewhere) 6 months prior to her presentation, was referred to our department due to pain and loss of vision for the previous 4 days. The patient presented with left eye visual acuity of hand motion, conjunctival hyperemia, hypopyon, vitritis, and 2 polypropylene flanges exposed throughout the conjunctiva. Endophthalmitis was diagnosed followed by urgent treatment with vitreous and anterior chamber tap, and intravitreal injections of antibiotics and steroids. Cultures revealed Streptococci viridans infection. No further surgical intervention was performed due to patient opposition. The infection resolved within a few weeks; however, phthisis bulbi developed subsequently. ISF IOL with 4 polypropylene flanges has gained popularity. A rare complication of flange extrusion might lead to endophthalmitis. Studies evaluating short- and long-term complications of this technique are warranted.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Journal of Cataract and Refractive Surgery Online Case Reports
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
