Kang Hae Min, Park Jong Woon, Chung Eun Jee
Department of Ophthalmology, Yonsei University Medical Center, Seoul, Korea.
Korean J Ophthalmol. 2011 Feb;25(1):60-2. doi: 10.3341/kjo.2011.25.1.60. Epub 2011 Jan 17.
A 60-year-old male was referred to the ophthalmologic clinic with aggravated anterior uveitis and corneal edema despite the use of topical and systemic steroids. He had undergone cataract surgery in both eyes 15 years previous. Slit lamp examinations revealed a retained lens fragment in the inferior angle of the anterior chamber, with severe corneal edema and mild anterior uveitis. The corneal edema and uveitis subsided following surgical extraction of the lens fragment. That a retained lens fragment caused symptomatic anterior uveitis with corneal edema 15 years after an uneventful cataract surgery is unique. A retained lens fragment should be considered as one of the causes of anterior uveitis in a pseudophakic patient.
一名60岁男性因尽管使用了局部和全身类固醇,但前葡萄膜炎和角膜水肿仍加重,而被转诊至眼科诊所。他在15年前双眼都接受了白内障手术。裂隙灯检查发现前房下角有残留晶状体碎片,伴有严重角膜水肿和轻度前葡萄膜炎。手术取出晶状体碎片后,角膜水肿和葡萄膜炎消退。在白内障手术顺利进行15年后,残留晶状体碎片导致有症状的前葡萄膜炎伴角膜水肿,这是很罕见的。在人工晶状体眼患者中,残留晶状体碎片应被视为前葡萄膜炎的病因之一。