Posterior Chamber Lens Research Articles

Retraction: Effective Lens Position According to Incision Width in Cataract Surgery Using Phacoemultification and Posterior Chamber Lens Implantation

Retraction: Effective Lens Position According to Incision Width in Cataract Surgery Using Phacoemultification and Posterior Chamber Lens Implantation

Spontaneous anterior dislocation of the intraocular lens after cataract surgery

We report the case of a 35-year-old patient, an athlete by profession, who had a one-sided right-eye congenital cataract since childhood, for which he had a cataract surgery by phacoemulsification with the placement of an intraocular posterior chamber lens in the capsular bag; the surgery was carried out without complications. Fifteen days after the surgery, the patient performed a sports activity (running), during which he felt eye pain and decreased visual acuity, which motivated him to consult urgently. The examination found a clear cornea, a stretched pupil and a subluxed intraocular lens in the anterior chamber, with a lower corneal contact. The patient benefited from a surgical procedure, with a re-implantation of the implant in the bag; the postoperative follow-up was without particularities.

History of the development of intraocular lenses

AbstractCouching as the first surgical method for cataract has been performed for about 4000 years. Until mid of the 20th century, attention was spent on removing the opaque lens from the line of sight – refractive correction was provided as spectacle lenses. During World War II – the British ophthalmologist Harold Ridley had to treat pilots suffering from penetrating eye injuries after being shot down. He found that splints from the cockpit cover – which were made from PMMA – did not induce inflammatory reactions. Inspired by his student Steve Parry he started to develop an intraocular implant made of PMMA – which was the birth of the modern intraocular lens. The invention of phacoemulsification by Charles Kelman and the capulorhexis by Neuhann and Gimbel led the way to the success of modern posterior chamber lenses. Until the late 1970’s, lenses were made of PMMA until the first flexible silicone lenses came up. Starting in the late 1980s the silicone lenses were successively replaced by acrylic lenses. Nowadays the majority of lenses are made from acrylic material.

The influence of low signal-to-noise ratio of axial length measurement on prediction of target refraction, achieved using IOLMaster.

PurposeTo evaluate the influence of low signal-to-noise ratio (SNR) of axial length measurement, achieved using IOLMaster, on prediction of target refraction.MethodsA total of 131 eyes of 131 patients who underwent phacoemulsification with posterior chamber lens implantation were enrolled. Preoperative axial length measurements were performed with the IOLMaster 500 (Carl Zeiss Meditec, Germany); preoperative SNR values were used to divide the eyes into three groups (Group 1; SNR <10, Group 2; 10 ≤ SNR <50, Group 3; 50 ≤ SNR <100). One month and 6 months after cataract surgery, the manifest refraction spherical equivalents (MRSE) were measured. The mean numeric errors (MNE), the mean of the difference between postoperative MRSE, and preoperative target refraction, using the various intraocular lens (IOL) formulas, were calculated and compared among the three groups.ResultsOne month after cataract surgery, postoperative MRSE was more hyperopic than preoperative target refraction, calculated by the Haigis formula in group 1, and by the SRK/T formula in group 2. After 6 months, for all formulas in group 1, there were significantly hyperopic results (approximately 0.35 diopter). Upon comparison of MNE among the three groups, group 1 was statistically significantly different from the other groups by Haigis formula.ConclusionsWhen the SNR values in biometry, using IOLMaster, are <10, careful attention should be given to determining IOL power, as postoperative spherical equivalents are more hyperopic than preoperative target refraction by IOL formula.

Complications in sutured scleral fixation of artificial lens implantation

Sutured scleral fixation of an artificial posterior chamber lens is afrequently used method for the treatment of eyes with poor or absent capsular support; however, the complication profile is often considered unfavorable. To analyze the postoperative complication profile. In this monocentric and retrospective analysis of a consecutive case series of patients with standardized sutured scleral fixation of aposterior chamber lens between 2007 and 2017, the documented complications were categorized as a permanent threat to visual acuity, such as endophthalmitis, choroidal hemorrhage, retinal detachment and clinically relevant but without a permanent threat to visual acuity, such as hemorrhage and hypotension. Additionally, the time point when complications first occurred was categorized into the 3 periods 0-3, 4-30 and ≥31days. This is the largest patient collective of a study with scleral fixation of aposterior chamber lens published so far. A total of 338 eyes from 338 patients were included in the study (women 47%) and the median postoperative follow-up period was 60days (range 1-5833 days). In 68% of the patients at least 1 complication was documented. Complications with apermanent threat to visual acuity occurred in 3% (n = 10) of the patients. The most frequent clinically relevant complications were intraocular hypotension ≤10 mm Hg (35%; n = 119), pupil decentration (28%; n = 93), hyphema, iris or vitreous hemorrhage (10%; n = 34), secondary glaucoma (9%; n = 32) and iris capture (5%; n = 17). Of the complications 41% occurred within the first 3days and 70% within the first 30days. Revision surgery was carried out in 4.5% (n = 15) of the patients. Although complications occurred in two thirds of the interventions, the number of permanent complications with a permanent threat to visual acuity was low. Scleral fixation of an artificial posterior chamber lens is still a justifiable intervention.

Safety assessment of using collamer phakic implants in the correction of refractive errors

An increasing number of patients with refractive visual impairments, in whom the correction using spectacles or contact lenses does not meet expectations, consider the possibility of undergoing refractive surgery. Phakic implants are an alternative for patients who are not eligible for laser correction. The aim of the study is to assess the safety of using collamer phakic implants in the correction of vision defects during the annual follow-up. The study included 24 eyes in 12 patients who were implanted with Visian ICL phakic posterior chamber lenses in order to correct myopia. The examinations carried out before the surgery were as follows: objective refractometry, the assessment of distant visual acuity with the best correction, intraocular pressure measurement, evaluation of the endothelium, corneal topography, and depth of the anterior chamber measurement. The final examinations included visual acuity, refraction, intraocular pressure, implant placement, endothelial microscopy, and funduscopic examination. Mean objective refraction was: sphere -7.77 ±3.55 diopters and cylinder 1.18 ±0.87 diopters. Spectacle correction produced the mean visual acuity of 0.91 ±0.20 (Snellen). During the period of 1-year follow-up, the mean spherical power was 0.475 ±0.39 diopters, cylinder 0.46 ±0.27 diopters and the visual acuity after the procedure 1.05 ±0.22 (Snellen). The results of the 12-month evaluation showed a statistically significant greater improvement in patients using phakic implants compared to those subjected to spectacle correction (p < 0.05). The preand post-operative evaluation demonstrated no significant differences in endothelial cell density (p < 0.05). No complications were reported both during the surgery and the entire follow-up period. The results of the safety assessment of using properly implanted ICL phakic lenses show good tolerance of collomer implants in the posterior chamber. They do not have a negative effect on the structures located in the anterior segment of the eye, including the corneal endothelium and the lens.

Impact of ab-interno trabeculectomy on Bruch's membrane opening-based morphometry of the optic nerve head for glaucoma progression analysis.

To analyze the longitudinal change in Bruch's membrane opening minimal rim width (BMO-MRW) and circumpapillary retinal nerve fiber layer (RNFL) thickness using spectral domain optical coherence tomography (SD-OCT) after glaucoma surgery via ab-interno trabeculectomy in adult glaucoma patients. Retrospective audit of 65 eyes of 65 participants undergoing ab-interno trabeculectomy using electroablation of the trabecular meshwork. In 53 eyes, surgery was combined with phacoemulsification and posterior chamber lens implantation. Pre- and postoperative SD-OCT examinations of the optic nerve head (ONH), intraocular pressure (IOP), and visual field data were analyzed. Longitudinal change in morphometric SD-OCT parameters of the ONH was compared and correlated to change in IOP and visual field function. BMO-MRW increased significantly between baseline (BL) and follow-up (FU) within the first 6months after surgery (BL = 167.85 ± 90μm; FU = 175.59 ± 89μm; p = 0.034). This increase correlated with postoperative lowering of IOP (rho= - 0.41; p = 0.016). Nine months after surgery (range, 7-12months), there was no significant change in BMO-MRW (BL = 196.79 ± 79; FU = 196.47 ± 85μm; p = 0.95), while in later follow-up, a decrease of BMO-MRW was found (BL = 175.18 ± 78; FU = 168.65 ± 72; p = 0.05). RNFL thickness was unchanged in early (p > 0.16) and significantly decreased in later follow-up (p = 0.009). Mean deviation (MD) of visual field function did not show a significant change before and after surgery. Electroablative ab-interno trabeculectomy leads to a significant transient mild increase in BMO-MRW. This increase was shown to correlate with IOP lowering. Significant loss of BMO-MRW in later follow-up may reflect insufficient IOP reduction by surgery. The parameters RNFL thickness and MD seem less impacted directly by surgery.

RETRACTED ARTICLE: Effective Lens Position According to Incision Width in Cataract Surgery Using Phacoemultification and Posterior Chamber Lens Implantation

Statement of RetractionRetraction: Effective Lens Position According to Incision Width in Cataract Surgery Using Phacoemultification and Posterior Chamber Lens ImplantationWe, the Editors, Publishers, and Authors of Seminars in Ophthalmology, have retracted the following article:Jiwon Baek, Kee-Sun Tae, Anna Lee, Man Soo Kim, and Eun Chul Kim (2018). Effective Lens Position According to Incision Width in Cataract Surgery Using Phacoemultification and Posterior Chamger Lens Implantation, Seminars in Ophthalmology 33:7-8, 846-851, DOI: 10.1080/08820538.2018.1534977The article is being retracted at the request of the authors and their institution, the Catholic University of Korea, Bucheon St. Mary's Hospital, after authors identified errors in subject randomization and concluded the resulting data and results are unreliable.We have been informed in our decision-making by our policy on publishing ethics and integrity and the COPE guidelines on retractions.The retracted article will remain online to maintain the scholarly record, but it will be digitally watermarked on each page as “Retracted.”

Curvilinear, symmetrical, and profound pigment deposition on the posterior lens capsule in a patient with bilateral pigmentary dispersion syndrome.

IntroductionThe classic presentation of pigmentary dispersion syndrome (PDS) often consists of midperipheral iris transillumination defects, Krukenberg’s spindle, and dense homogeneous trabecular pigmentation. Other subtle, sometimes overlooked features include pigment on the lens zonules, pigment on the anterior lens capsule and pigment along the equator of the posterior lens capsule.CaseThis unique presentation of PDS presented with bilateral, dense, oblique, and symmetrical pigment deposition along the posterior lens capsule that changed in shape, density, and extent over the span of 3 years.DiscussionThere have been few reports in the literature that describe a central accumulation of pigment along the posterior lens capsule associated with PDS. There are reported cases of pigment deposition along the central aspect of the posterior lens capsule, some changing over time, although none were bilateral and symmetrical. There are suggestions that perhaps this central pigment deposition is related to a break in the ligament of Weiger, allowing communication between the posterior chamber and posterior lens capsule. This is a case in which curvilinear, symmetrical, and changing pigment deposition on the posterior lens capsule is suggestive of perhaps another key features of PDS.

Preexisting epiretinal membrane is associated with pseudophakic cystoid macular edema.

The purpose of the present study was to evaluate whether preexisting epiretinal membrane (ERM) is a significant risk factor for developing pseudophakic cystoid macular edema (PCME). Two hundred four consecutive eyes and 153 consecutive eyes without preexisting epiretinal membranes were retrospectively compared regarding PCME development following phacoemulsification with posterior chamber lens implantation. Patients with vascular retinal diseases, uveitis, trauma, neovascular macular degeneration, chronic inflammatory conditions, diabetic retinopathy, endophthalmitis, eventful cataract surgery, and combination of cataract surgery and vitrectomy during the observation period were excluded. Macular examination was performed using spectral-domain optical coherence tomography (SD-OCT) before as well as at 4, 8, 12, 16, 24, and 36weeks after cataract surgery. Univariate and multivariate logistic regression analyses were calculated. PCME occurred in 32 of 204 eyes with preexisting ERM (15.7%), whereas 9 of 153 eyes without preexisting ERM (5.9%) developed PCME. The risk of PCME was significantly increased in eyes with ERM (p = 0.007). By multivariate logistic regression analysis, factors predictive of PCME included the history of previous pars plana vitrectomy for retinal detachment (odds ratio (OR) 3.619 [95% confidence interval (CI) 1.242 to 10.258]; p = 0.016) as well as the preexistence of ERM (OR 3.885 [95% CI 1.162 to 17.762]; p= 0.04). Preexisting ERM seems to be associated with an increased risk of PCME following cataract surgery. Therefore, this risk should be considered in surgery planning, preoperative medication, and follow-up care after surgery.

Clinical analysis on angle-closure glaucoma with binocular asymmetry of anterior chamber depth

Objective To analyze clinical features and treatment for angle-closure glaucoma with binocular asymmetry of anterior chamber depth. Methods Twenty-one eyes of 21 cases with binocular asymmetry of anterior chamber depth were analyzed retrospectively (relaxation of ciliary zonule in 2 cases; subluxation of lens in 18 cases; glaucoma secondary to retinal vascular occlusion in 1 case). All cases were characterized by high intraocular pressure, shallow anterior chamber, anterior chamber angle closure, and similar to primary angle closure glaucoma. Ectopia lentis occurred in 20 cases. All cases underwent YAG laser peripheral iridotomy, trabeculectomy or lens extraction, even combined with anterior vitrectomy. The posterior chamber lenses were implanted into the capsular bag or suspended according to the different instances of relaxation of ciliary zonule. Secondary glaucoma was treated with intravitreal injection of Conbercept. Results After operation, all cases obtained normal intraocular pressure and visual acuity increased to 0.12-0.8. Conclusion It is very important to differentiate the patients of glaucoma due to binocular asymmetry of anterior chamber depth from primary angle-closure glaucoma. Good surgical efficacy can be obtained via different types of operations according to different situations of diseases. Key words: Zonule, len, relaxation; Glaucoma, secondary; Retinal vascular occlusion; Anterior chamber depth

Combined Ab Interno Glaucoma Surgery Does not Increase the Risk of Pseudophakic Cystoid Macular Edema in Uncomplicated Eyes.

To assess the risk of pseudophakic cystoid macular edema (PCME) following cataract surgery (bimanual phacoemulsification with posterior chamber lens implantation) combined with ab interno glaucoma surgery (trabecular aspiration or ab interno trabeculotomy) compared with solely cataract extraction. In total, 360 consecutive eyes of 180 patients with age-related cataract, and thereof 162 with coexistent glaucoma, who underwent sole cataract surgery or in combination with ab interno glaucoma surgery (trabecular aspiration or ab interno trabeculotomy) were compared retrospectively regarding PCME development. Patients with known risk factors of PCME were excluded. Macular examination was performed using spectral-domain optical coherence tomography before and at 4, 8, 12, 16, 24, 36, and 48 weeks after surgery. Main outcome measure was the incidence of PCME. In total, 126 eyes (35%) underwent cataract surgery combined with ab interno glaucoma surgery (96 trabecular aspiration (76.2%), 30 ab interno trabeculotomy (23.8%), and 234 eyes (65%) received cataract surgery alone. PCME overall occurred in 23 eyes (6.4%). Following combined trabecular aspiration 5 eyes (5.2%) developed PCME, following ab interno trabeculotomy 2 eyes (6.7%), and following sole cataract surgery 16 eyes (6.8%), reaching no significant difference (P=0.676). Risk of PCME in fellow eye was significantly increased (P=0.025; odds ratio 7.177; 95% confidence interval, 5.667-8.687). Additional ab interno glaucoma surgery combined with phacoemulsification does not seem to increase the risk of PCME in uncomplicated eyes. However, in patients with history of PCME a significantly increased risk of PCME in fellow eye should be taken into account.

Comparison of Clinical Outcomes between Phacoemulsification and Laser Peripheral Iridotomy in the Spectrum of Primary Angle Closure Diseases of the Eye

Background: To compare clinical outcome between phacoemulsification and laser peripheral iridotomyin the spectrum of primary angle closure eyes.Methods: A literature review of databases were retrieved online through Pub-med, Clinical Key, andScience Direct, using keywords of ‘primary angle closure’, ‘primary angle closure glaucoma’, and‘acute primary angle closure’. In addition, all literatures involving the use of laser peripheral iridotomy(LPI) or phacoemulsification as a treatment in PAC diseases were included. Publications and journalsbefore the year 2000 were excluded.Results: There were 18 articles that fulfilled our inclusion criteria. All of the studies showed a decreasein IOP following cataract extraction or LPI, compared to baseline. This study also showed that thephacoemulsification group gave a significantly larger angle width increment when compare to LPI.When directly compared between phaco to LPI, the number of topical glaucoma medication was moredecreased in the phaco group, meanwhile the need for additional glaucoma surgery was higher in theLPI group.Conclusion: Phacoemulsification with posterior chamber lens implantation is more effective procedurethan LPI in lowering IOP and preventing IOP rise in long term follow up in PAC diseases. That surgerywill reduce the number of additional glaucoma medication and further glaucoma filtering surgery.Despite of superiority in phacoemulsification treatment, LPI is still the mainstay of initial treatment,especially in PAC eye diseases without cataract.Keywords: spectrum of primary angle closure eye disease, phacoemulsification, laser peripheral iridotomy, angle width

Travmatik Kataraktlı Çocuklarda Sklera Fiksasyonlu Arka Kamara Göz İçi Merceği

Objective: To report on the outcomes of posterior chamber lens implantation with scleral fixation (SFIOL) in children with traumatic cataract after 1 year. Material and Methods: Eleven eyes of eleven cases were included in the study. All patients had corneal or corneoscleral lacerations that were primarily repaired except one patient. Traumatic cataract subsequently developed and SFIOL was performed due to insufficient posterior capsule support. Pre-operative and post-operative best corrected visual acuity (BCVA), intraocular pressure (IOP), intraocular lens (IOL) position, anterior chamber reaction, and retinal evaluation were analyzed via retrospective medical record review. Results: From 2013-2015, 11 SFIOLs were implanted in 11 children with traumatic cataracts. The average age of the patients was 8.2 years (range: 5 to 14 years). All cases had SFIOL implanted via internal route using triangular double scleral flaps made of 10-0 polypropylene after a complete anterior vitrectomy. Average follow-up was 16.57±3.41 months (range: 12 to 26 months). Visual acuity was increased at the last visit in all patients (p<0.05). Common postoperative complications were fibrinous reaction in 5 (46%) patients, vitreous hemorrhage in 4 (36%) patients, and transient intraocular pressure increase in 2 (18%) patients. Results showed no evidence of complications after the postoperative first year. Conclusion: SFIOL is an effective and reliable method in patients with pediatric traumatic cataract who had insufficient posterior capsule support who are lacking other means for visual rehabilitation.

Häufigkeit, Ursachen und Verlauf von Explantationen multifokaler Intraokularlinsen

Multifocal intraocular lenses (MF-IOL) are implanted for visual rehabilitation after cataract operation and refractive lens exchange (RLE). In this retrospective study, the frequency, causes and course of MF-IOL explantation are investigated. Private eye clinic, Cologne, Germany. Between 2009 and 2014, a total of 1438 eyes were supplied with a hydrophobic, aspherical, diffractive, multifocal posterior chamber lens (PCL) of type: Acrysof ReSTOR and ReSTOR toric, with near additions of + 2.5, + 3.0 and + 4.0 (Alcon, Fort Worth, USA). 78 % (n = 1116 eyes) were indicated because of a cataract and 22 % (n = 322 eyes) as RLE. All procedures were either performed by OK or GG, as ultrasound phacoemulsification under topical anaesthesia. Since 2013, a femtosecond laser (LensX, Alcon, Fort Worth the USA) has been used in some cases. Data analysis was performed with the help of the digital patient's recordings. In a total of 12 cases, the MF-IOL needed to be explanted. Causes for the explantation were strong deviations from the expected target refraction (4 eyes), epiretinal gliosis accompanied by surgically membrane peeling (2 eyes), optical discomfort (waxy vision, 4 eyes), unstable toric lens due to a vast zonulolysis (1 eye), and 5 years post-implantation glistening (1 eye). The overall frequency of MF-IOL explantationen was 0.83 %. The frequency of explantations due to specific optical side effects and discomfort was 0.28 %. In all cases, 12 months post MF-IOL explantation recovery was achieved to full visual acuity. Diffractive MF-IOL of the type Alcon Acrysof ReSTOR are generall very well accepted. In only 0.28 % of all cases, was an explantation performed on grounds of optical discomfort. In the other cases, the causes for explantation were not related to the optical geometry of the MF-IOL.

Small Incision Sutureless Cataract Extraction with and without Posterior Chamber Lens

A total of 27 cases were operated at LGH durmg the December 1992 to June 1996, over a period of 4 years With a few complications. the procedure was encouraging. Good visual results were observed in 85% of the cases. Males were 19 and females were 8. The preferred choice of the patients was of younger age group. Posterior capsular rent occurred in 4 patients 3 patients did not like the PCL. And 24 underwent PECCE with PCL

Phakic intraocular lenses

Refractive surgical procedures are generally divided into additive procedures with, e. g. implantation of an artificial lens and subtractive procedures with ablation of corneal tissue. In this article the current status of phakic intraocular lens (IOL) implantation for correction of refractive errors is reviewed. Phakic IOLs are constructed as angle-supported or iris-fixated anterior chamber lenses and sulcus-fixated posterior chamber lenses. The implantation of phakic IOLs has been demonstrated to be an effective, safe, predictable and stable procedure to correct higher refractive errors. Complications are rare and depend to a large extent on the location. For anterior chamber lenses the main concern is critical endothelial cell loss and for posterior chamber lenses early cataract formation.

Pars Plana Vitrectomy Combined With Either Secondary Scleral-Fixated or Anterior Chamber Intraocular Lens Implantation

To compare visual outcomes among eyes that underwent pars plana vitrectomy (PPV) in combination with either anterior chamber intraocular lens implantation (ACIOL) or scleral suturing of posterior chamber lens (PCIOL). Retrospective comparative case series. All eyes presented with aphakia or luxated or subluxated posterior chamber intraocular lens (IOL) following complicated cataract surgery, trauma, or spontaneous dislocation. Eyes involving visually significant macular pathology, past retinal detachment, follow-up of less than 6months, and surgeries requiring the removal of an ACIOL were excluded. The main outcomes measured were final best-corrected visual acuity (BCVA) and surgical complication rates. Fifty-seven eyes met inclusion criteria; median follow-up was 13.2months. Initial median BCVA for ACIOL patients was logMAR 1.301 (Snellen equivalent 20/400, range 20/20 to light perception); final median BCVA was logMAR 0.477 (Snellen equivalent 20/60, range 20/20 to light perception, P < .001). Initial median BCVA for PCIOL patients was logMAR 1.239 (Snellen equivalent 20/347, range 20/60 to light perception); final median BCVA was logMAR 0.301 (Snellen equivalent 20/40, range 20/20 to hand motions, P < .001). The change in BCVA between the 2 groups over the course of the study was similar (P > .05). More epiretinal membrane (ERM) formations occurred postoperatively in the ACIOL group (P= .011). Other complication rates were similar between both groups. PPV with secondary IOL placement is safe and effective, resulting in improved visual outcomes regardless of the technique used. Patients undergoing ACIOL placement have a higher incidence of ERM formation.

Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients.

AIMTo describe a surgical technique suitable for cataract surgery in regions with a high prevalence of HIV infection.METHODSWe reviewed the medical records of 20 consecutive AIDS patients with cataract who underwent modified small-incision cataract surgery (mSICS) with posterior chamber lens implantation. Classic extracapsular cataract extraction (ECCE) was compared to mSICS. The number of potentially risky steps for contamination during surgery and duration of surgery were analyzed. A risky step was defined as any time when the surgeon had to use a sharp instrument. Student’s paired t-test was carried out to compare continuous variables, and P-values <0.05 were considered statistically significant.RESULTSTwenty patients were included in the study, 13 males (65%) and seven females (35%). The mean age was 46.3 ± 13.6 years (range 22–70 years). The number of potentially risky steps for contamination was significantly higher in the classical ECCE than in mSICS (P < 0.001). The mean duration of cataract surgery with mSICS was significantly shorter as well (P < 0.001).CONCLUSIONConversion to mSICS is essential in order to reduce accidental injuries during cataract surgery in sub-Saharan countries. Sharp instruments should be passed through a neutral zone to ensure that the surgeon and nurse do not touch the same instrument at the same time.

Cataract surgery in the exciting eye in sympathetic ophthalmia

Sympathetic ophthalmia (SO) is a rare, bilateral, non-necrotizing, granulomatous panuveitis that occurs following penetrating injury or a surgical procedure in one eye threatening sight in the fellow eye. Visual prognosis is reasonably good with prompt appropriate wound repair and corticosteroids pre and post-operatively. Only in a severely injured eye with no prognosis for vision is enucleation done within 2 weeks of injury to prevent the disease. We report a case of sympathetic ophthalmia with traumatic cataract following penetrating injury in the exciting eye. Cataract surgery with posterior chamber lens implant was done in the exciting eye, with pre-operative and post-operative cover of steroids, yielding good postoperative vision. If the injured eye has any vision, enucleation should be avoided as this may become the better eye if the fellow eye develops severe inflammation. We present this as a rare case report because after a thorough literature search in Pubmed, to the best of our knowledge, such a case has been rarely reported.