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Klin Monbl Augenheilkd 2025; 242(04): 461-462
DOI: 10.1055/a-2463-0967
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Late-Onset Focal Corneal Edema and Recurrent Uveitis Anterior due to Retained Lens Fragment after Uneventful Cataract Surgery

Spät einsetzendes fokales Hornhautödem und rezidivierende Uveitis anterior aufgrund eines zurückgebliebenen Linsenfragments nach komplikationsloser Kataraktoperation
Eleftherios Chatzimichail
Eye Clinic, University Hospital Basel, Switzerland
,
Alexandra Steinemann-Inauen
Eye Clinic, University Hospital Basel, Switzerland
,
Oussama Habra
Eye Clinic, University Hospital Basel, Switzerland
,
Peter Meyer
Eye Clinic, University Hospital Basel, Switzerland
,
Nicolas Feltgen
Eye Clinic, University Hospital Basel, Switzerland
,
Zisis Gatzioufas
Eye Clinic, University Hospital Basel, Switzerland
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Introduction

Cataract extraction constitutes the most frequent surgical procedure in medicine, with an estimated 7 million cases per year in Europe [1]. Phacoemulsification was first introduced in 1967 by Charles Kelman and stands out as the surgical approach of choice for cataract extraction [2]. Complications of cataract surgery can be divided into intraoperative, early postoperative, and late postoperative, compromising visual prognosis. Retained lens fragment is a rare complication, commonly manifesting with uveitis anterior, corneal edema as well as intraocular pressure elevation, and could potentially lead to synechiae, macular edema, or even endophthalmitis, if not treated adequately [3].

Here, we present a case of uveitis anterior and late-onset focal corneal edema due to residual lens fragment after cataract surgery in an 86-year-old patient, highlighting diagnostic and therapeutic challenges of this avoidable complication.



Publication History

Received: 26 October 2024

Accepted: 04 November 2024

Article published online:
27 January 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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