Posters

Pseudophakic posterior iris-chafing syndrome: case report

Poster Details

First Author: T.Loureiro PORTUGAL

Co Author(s):    R. Carreira   D. Lopes   F. Fraga   N. Campos           

Abstract Details

Purpose:

To report a case of a Pseudophakic Posterior Iris Chafing Syndrome in a woman with recurrent episodes of anterior chamber inflammation.

Setting:

A 78-year-old woman, who underwent cataract surgery complicated with posterior capsular rupture followed by sulcus three-piece lens implantation on her right eye, presented to our emergency room complaining about blurry vision on said eye.

Methods:

Her best corrected visual acuity was 8/10 and 5/10 on her right and left eyes, respectively. The intraocular pressure (IOP) was 24/17mmHg. On biomiocroscopy, ciliary injection and anterior chamber inflammation (++) were present on the right eye. The left eye had a cortico-nuclear cataract. No iris alterations were registered. Funduscopic examination was unremarkable. The treatment for anterior non-granulomatous uveitis was started with topical steroids and hypotensive medication. After one month after treatment, the woman returned with persistent inflammation. We decided to do the standard etiological investigation for anterior uveitis. However, it was completely negative.

Results:

During follow-up, we detected iris transillumination defects in the shape of the IOL haptics. We admitted Pseudophakic Posterior Iris Chafing Syndrome and referred for IOL exchanging surgery.

Conclusions:

Pseudophakic Posterior Iris Chafing Syndrome is a condition that can present as recurrent episodes of anterior uveitischamber inflammation, increased IOP and/or hyphema. However, it is often used when one, two or all three are present. It is caused between they chafing of the iris and lens complexon angle, releasing pigment and causing recurrent inflammation.

Financial Disclosure:

None