Posters

Ointment in the anterior chamber after keratoplasty penetrating

Poster Details

First Author: S.Bouziane MOROCCO

Co Author(s): S. Zarriq   O. El Filali   A. Bennis   F. Chraibi   M. Abdellaoui   I. Benatiya El Andaloussi     

Abstract Details

Purpose:

The presence of an anterior chamber of the eye is a rare finding after ophthalmologic intraocular surgeries. It appears as a mobile pearly whitish nodule, and differential diagnosis should be made with remnants of the lens, inclusion cysts, silicone drops and others. The diagnosis is made through anamnesis, clinical findings, optical coherence tomography, and definitive identification of the substance with laboratory tests such as infrared spectrometry. The therapeutic plan includes surgical removal with or without intraocular lens replacement or clinical observation.

Setting:

The study was conducted at ophthalmology deparment at the University Hospital Center HASSAN II, FES city, MOROCCO

Methods:

We report the case of a patient presenting an ointment in the anterior chamber after a penetrating keratoplasty carried out 4 years ago following a right eye trauma then the patient presented a red eye motivating its consultation in our center

Results:

The best corrected visual acuity was in the right eye with positive light perception The graft was dystrophic, an opalescent white globule of 1 mm was found in the anterior chamber without inflammatory reaction, the intraocular pressure was 15 mmHg. after pupillary dilatation, presence of a total white cataract. The ocular ultrasound revealed no abnormalities. The anterior OCT segment, which had a homogeneous hyper-reflective globule without contact with the corneal endothelium hyperrendrance, showed that the globule did not have a liquid consistency. the ointment will be extracted during the combined surgery which includes a corneal transplant with cataract treatment.

Conclusions:

Complications associated with the presence of intraocular ointment in the anterior chamber have been described after  corneal graft but small amounts can be well tolerated as in the case of our patient and the decision of surgical exeresis should be based on individual clinical findings

Financial Disclosure:

None