Surgical removal of intraocular ointment six years after cataract phacoemulsification: case report

Session Details

Session Title: Presented Poster Session: Cataract Surgery Complications and Management III

Session Date/Time: Sunday 06/09/2015 | 09:30-11:00

Paper Time: 09:50

Venue: Poster Village: Pod 1

First Author: : J.Sandoval Codoni SPAIN

Co Author(s): :    J. Mora Castilla   R. Luque Aranda   J. Gonzalez de Gor Crooke        

Abstract Details

Purpose:

Entry of ointment into the anterior chamber after intraocular surgery has been described in cases of small-incision phacoemulsification with variable outcomes; toxic anterior segment syndrome, chronic uveitis and secondary glaucoma several months postoperatively, but it may remain inert in the anterior chamber for many years without causing problems.

Setting:

HUC Virgen de la Victoria

Methods:

We report the case of a 75 years-old-male who came to the emergency room due to a foreing body sensation in the Right Eye (RE). presented a ophthalmogical history of phacoemulsification cataract surgery of both eyes in 2008. The best corrected visual acuity was 20/50 RE and 20/30 left eye. Tonometry gave normal results. Biomicroscopy showed a corneal epitheliopathy, a low density white droplet free in the anterior chamber, tiny droplets adherent to the iris and in the incision. There was no anterior uveitis. The intraocular lens were in the capsular bag.Funduscopy (RE) revealed a macular edema tomographically confirmed.

Results:

Topical dexamethasone and carbomer were prescribed improving the symptoms and the epithiopathy. The ointment was surgically explanted and the material was sent for biochemical analysis.

Conclusions:

Even if some paraffin-based ophthalmic ointments may remain inert in the anterior chamber for many years without causing problems, surgical explantation must be required when cause symptoms Although reportedly an uncommon event, this case highlights the need for regular review of surgical practices in phacoemulsification.

Financial Interest:

NONE