Pseudophaco-anaphylactic endophthalmitis?

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.