Pong Jeffrey C F, Tang Wilson W T, Lai Jimmy S M
Department of Ophthalmology, United Christian Hospital, Kowloon, Hong Kong SAR, China.
J Cataract Refract Surg. 2008 Nov;34(11):1990-1. doi: 10.1016/j.jcrs.2008.05.059.
A 66-year-old Chinese man developed corneal endothelial decompensation after intraocular lens (IOL) repositioning using intracameral epinephrine was performed. The presentation was compatible with toxic endothelial cell destruction syndrome, which is caused by prolonged, direct exposure of the corneal endothelium to relatively high concentrations of intracameral epinephrine. Despite its effective and immediate mydriatic effect, intracameral epinephrine is not recommended for intraoperative mydriasis in procedures such as IOL repositioning or secondary IOL implantation in which minimal irrigating solution is used.
