Abstract
We present a case of fulminant panuveitis following iris suture fixation of a posterior chamber intraocular lens. We hypothesize that the zonular dehiscence allowed the inflammatory cells in the anterior compartment to gain access to the posterior segment mimicking endophthalmitis or toxic anterior segment syndrome. Also certain bulky lens designs, like the current Rayner hydrophilic acrylic lens, are difficult to manipulate and hold in the optic capture position, and hence the iris fixation of these lenses can be traumatic and lengthy. It is advised to exchange such lenses with 3-piece intraocular lenses that are easy to fixate.
Highlights
The concept of iris suture fixation for posterior chamber intraocular lenses dates back to 1976, when Malcolm McCannel, M.D., described his trans-corneal suture technique to stabilize subluxated posterior intraocular lenses
This 46-year-old Iraqi lady had prior anterior chamber intraocular lens implantation for familial lens subluxation and previous pars plana vitrectomy for retinal detachment ending with poor vision in the right eye
The possibility of endophthalmitis was discussed with the patient who declined immediate
Summary
Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens. We present a case of fulminant panuveitis following iris suture fixation of a posterior chamber intraocular lens. We hypothesize that the zonular dehiscence allowed the inflammatory cells in the anterior compartment to gain access to the posterior segment mimicking endophthalmitis or toxic anterior segment syndrome. Certain bulky lens designs, like the current Rayner hydrophilic acrylic lens, are difficult to manipulate and hold in the optic capture position, and the iris fixation of these lenses can be traumatic and lengthy. It is advised to exchange such lenses with 3-piece intraocular lenses that are easy to fixate
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