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Lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report
Journal of Ophthalmic Inflammation and Infection ( IF 2.9 ) Pub Date : 2021-11-16 , DOI: 10.1186/s12348-021-00273-z
Ksiaa Imen 1 , Ben Hadj Tahar Meriam 2 , Sellem Ilhem 1 , Attia Sonia 1 , Abroug Nesrine 1 , Khairallah Moncef 1
Affiliation  

A 57-year-old otherwise healthy male presented to our department seven days following uneventful pars-plana vitrectomy with gas tamponade for a superior bullous retinal detachment in the left eye. Ophthalmic examination revealed anterior segment inflammation with hypopyon and fibrinous exudate. Intra-ocular pressure was 28 mmHg. Posterior segment evaluation was difficult to assess due to the presence of anterior capsule opacification and gas bubble. A Toxic Anterior Segment Syndrome was suspected, and the patient was treated with topical and oral corticosteroid medication in combination with anti-glaucomatous therapy. On follow-up, anterior segment inflammation and ocular hypertension improved. On day ten post-operatively, ocular ultrasonography demonstrated lens material inferiorly with attached retina. The final diagnosis of posterior lens nucleus dislocation with lens-induced uveitis was retained. The patient underwent an uneventful second vitrectomy with aspiration of the dislocated lens nucleus and sulcus three piece-lens implantation. On last follow-up, visual acuity was 20/50 with no relapsing of ocular inflammation and the retina remained reattached.

中文翻译:

晶状体诱发的前房积脓性葡萄膜炎作为玻璃体切除术后晶状体后核脱位的表现:病例报告

一名 57 岁的健康男性在因左眼大疱性视网膜脱离进行气体填塞平部玻璃体切除术后 7 天就诊于我们科。眼科检查显示前段炎症伴前房积脓和纤维蛋白渗出物。眼压为 28 mmHg。由于前囊混浊和气泡的存在,后段评估难以评估。怀疑有毒性前段综合征,患者接受了局部和口服皮质类固醇药物联合抗青光眼治疗。随访时,眼前节炎症和高眼压有所改善。术后第 10 天,眼部超声检查显示晶状体材料劣质并附有视网膜。保留晶状体后核脱位伴晶状体诱发葡萄膜炎的最终诊断。患者顺利进行了第二次玻璃体切除术,抽吸脱位的晶状体核和三片式晶状体沟。最后一次随访时,视力为 20/50,眼部炎症没有复发,视网膜仍然重新附着。
更新日期:2021-11-16
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