J Korean Ophthalmol Soc.  2016 Sep;57(9):1480-1483. 10.3341/jkos.2016.57.9.1480.

A Case of Phacoanaphylactic Uveitis Presenting as Endophthalmitis

Affiliations
  • 1Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. maya12kim@naver.com
  • 2Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.

Abstract

PURPOSE
To report a case of phacoanaphylactic uveitis presenting as endophthalmitis. CASE SUMMARY: A 77-year-old woman presented with sudden visual disturbance and painful red right eye. She did not have a history of trauma or surgery in her right eye. Her best corrected visual acuity was hand movement in the right eye and log MAR 0.22 in the left eye; intraocular pressure was 27 mm Hg in the right eye and 15 mm Hg in the left eye. Slit-lamp examination revealed corneal edema and prominent inflammation with hypopyon in the anterior chamber. B-scan showed vitreous opacity behind the lens. Based on the diagnosis of endophthalmitis, anterior chamber paracentesis and irrigation were performed. After irrigation, a hypermature cataract with intact anterior capsule was observed. Therefore, we performed extracapsular cataract extraction and intravitreal antibiotics injection. Gram staining of the aqueous humor revealed numerous macrophages filled with lens protein but no organisms. She was treated with hourly topical corticosteroid and an antibiotic agent. One month later, the anterior chamber is clear, and the cultures remained negative.
CONCLUSIONS
We report a case of spontaneous phacoanaphylactic uveitis presenting as endophthalmitis in a patient with no history of eye trauma or surgery.

Keyword

Anterior chamber paracentesis; Endophthalmitis; Macrophages; Phacoanaphylactic uveitis

MeSH Terms

Aged
Anterior Chamber
Anti-Bacterial Agents
Aqueous Humor
Cataract
Cataract Extraction
Corneal Edema
Diagnosis
Endophthalmitis*
Female
Hand
Humans
Inflammation
Intraocular Pressure
Macrophages
Paracentesis
Uveitis*
Visual Acuity
Anti-Bacterial Agents
Full Text Links
  • JKOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error