Pseudophaco-anaphylactic endophthalmitis?

  • J. Reimer Wolter
Article

Abstract

The pathology of subacute granulomatous endophthalmitis centered on a posterior chamber lens implant placed at extracapsular cataract surgery in the eye of a 72 year-old diabetic with cystoid macular edema following intracapsular extraction and an anterior chamber implant in the other eye is described in detail 3 months after surgery. The features of the severe granulomatous inflammation do not fit the usual pattern of sympathetic or phacoanaphylactic uveitis. The possibility of a specific hypersensitivity to the substance of the implant is considered.

Zusammenfassung

Die Pathologie von subakuter Endophthalmitis in einem Fall von einem Hinterkammerlinsenimplant nach extrakapsulaerer Kataraktexctraktion im Auge einer 72jährigen Diabetikerin mit zystoidem Makulaödem nach intrakapsulärer Kataraktoperation und Vorderkammerlinsenimplant im anderen Auge wird drei Monate post-operativ in allen Einzelheiten beschrieben. Das Bild einer schweren granulomatösen Entzündung paßt nicht zu den Diagnosen von symphatischer oder phakoanaphylaktischer Uveitis. Die Möglichkeit einer spezifischen Hypersensitivität gegen die Substanz des Implants wird in Betracht gezogen.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Kincaid MC, Green WR, Iliff WJ (1982) Granulomatous reaction to Choyce style intraocular lens. Ophthalmic Surg 13:292–299PubMedGoogle Scholar
  2. 2.
    Wolter JR (1982) Lens implant cytology. Ophthalmic Surg 13:939–942PubMedGoogle Scholar
  3. 3.
    Wolter, JR (1982) Cell life on the surface of lens implants. von Graefe's Arch Opth 218: 244–249Google Scholar
  4. 4.
    Wolter JR (1982) Foreign body giant cells on intraocular lens implants. von Graefe's Arch Ophth 219:103–111Google Scholar
  5. 5.
    Wolter JR (1982) Pigment in cellular membranes on intraocular lens implants. Ophthalmic Surg 13:726–732PubMedGoogle Scholar
  6. 6.
    Wolter JR, Felt DP (1983) Proliferation of fibroblast-like cells on failing intraocular lenses. Ophthalmic Surg 14:57–64PubMedGoogle Scholar
  7. 7.
    Wolter JR (1983) Reactive membrane on a lens implant: three months after implantation. von Graefe's Arch Ophth (in print)Google Scholar
  8. 8.
    Wolter JR (1983) Foreign body giant cells selectively covering haptics of intraocular lens implants: indicators of poor toleration? Ophthalmic Surg (submitted)Google Scholar
  9. 9.
    Wolter JR (1983) Foreign body reaction to firm nuclear lens substance. Ophthalmic Surg 14:135–138PubMedGoogle Scholar
  10. 10.
    Wolter JR (1983) Morphology of the capsule-like portion of the reactive membranes on intraocular lens implants. von Graefe's Arch Ophth (submitted)Google Scholar

Copyright information

© Springer-Verlag 1983

Authors and Affiliations

  • J. Reimer Wolter
    • 1
    • 2
  1. 1.The Department of Ophthalmology of theUniversity of Michigan HospitalsAnn ArborUSA
  2. 2.The Department of Pathology of theUniversity of Michigan HospitalsAnn ArborUSA

Personalised recommendations