Challenges of Pediatric Cataract Surgery in a Case of Seasonal Hyperacute Panuveitis (SHAPU)
A four-year-old female child diagnosed as a case of severe Seasonal Hyperacute Panuveitis (SHAPU) underwent lens-sparing core vitrectomy in her left eye with intravitreal antibiotic and steroid. Patient responded well to treatment and intraocular inflammation subsided. However, three months later, s...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/5591859 |
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| author | Pratap Karki Ranju Kharel Sitaula Anadi Khatri Sagun Narayan Joshi Haramaya Gurung Indraman Maharjan Ananda Kumar Sharma Madan Prasad Upadhaya |
| author_facet | Pratap Karki Ranju Kharel Sitaula Anadi Khatri Sagun Narayan Joshi Haramaya Gurung Indraman Maharjan Ananda Kumar Sharma Madan Prasad Upadhaya |
| author_sort | Pratap Karki |
| collection | DOAJ |
| description | A four-year-old female child diagnosed as a case of severe Seasonal Hyperacute Panuveitis (SHAPU) underwent lens-sparing core vitrectomy in her left eye with intravitreal antibiotic and steroid. Patient responded well to treatment and intraocular inflammation subsided. However, three months later, she developed vision impairing dense cataract which also made posterior segment assessment difficult. Lens aspiration with primary posterior capsulotomy and anterior vitrectomy with intraocular lens (IOL) implantation was performed. However, four weeks later, the patient developed occlusio pupillae with iris bombe. She did not respond to medical management so synechiolysis with surgical iridectomy was performed after which a normal depth anterior chamber was attained. Synechia and iris bombe were also relieved, and vision was regained. |
| format | Article |
| id | doaj-art-2e31403dfbc841f488c0b3a98a27d57d |
| institution | OA Journals |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-2e31403dfbc841f488c0b3a98a27d57d2025-08-20T02:38:49ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302021-01-01202110.1155/2021/55918595591859Challenges of Pediatric Cataract Surgery in a Case of Seasonal Hyperacute Panuveitis (SHAPU)Pratap Karki0Ranju Kharel Sitaula1Anadi Khatri2Sagun Narayan Joshi3Haramaya Gurung4Indraman Maharjan5Ananda Kumar Sharma6Madan Prasad Upadhaya7Department of Ophthalmology, Maharajgunj Medical Campus Tribhuvan University, Institute of Medicine, B. P. Koirala Lions Centre for Ophthalmic Studies, Maharajgunj, Kathmandu, NepalDepartment of Ophthalmology, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, B. P. Koirala Lions Centre for Ophthalmic Studies, Maharajgunj, Kathmandu, NepalBirat Medical College and Teaching Hospital Biratnagar, NepalDept of Ophthalmology, Maharajgunj Medical Campus, Tribhuvan University, Institute of Medicine, B.P. Koirala Lions Centre for Ophthalmic Studies, Maharajgunj, Kathmandu, NepalHimalaya Eye Hospital, Pokhara, NepalHimalaya Eye Hospital, Pokhara, NepalDepartment of Ophthalmology, Maharajgunj Medical Campus, Institute of Medicine, B.P. Koirala Lions Center for Ophthalmic Studies, NepalOphthalmology, Tribhuvan University, Chair Emeritus B.P Eye Foundation, Children Hospital for Eye, ENT and Rehabilitation (CHEERS), Bhaktapur, NepalA four-year-old female child diagnosed as a case of severe Seasonal Hyperacute Panuveitis (SHAPU) underwent lens-sparing core vitrectomy in her left eye with intravitreal antibiotic and steroid. Patient responded well to treatment and intraocular inflammation subsided. However, three months later, she developed vision impairing dense cataract which also made posterior segment assessment difficult. Lens aspiration with primary posterior capsulotomy and anterior vitrectomy with intraocular lens (IOL) implantation was performed. However, four weeks later, the patient developed occlusio pupillae with iris bombe. She did not respond to medical management so synechiolysis with surgical iridectomy was performed after which a normal depth anterior chamber was attained. Synechia and iris bombe were also relieved, and vision was regained.http://dx.doi.org/10.1155/2021/5591859 |
| spellingShingle | Pratap Karki Ranju Kharel Sitaula Anadi Khatri Sagun Narayan Joshi Haramaya Gurung Indraman Maharjan Ananda Kumar Sharma Madan Prasad Upadhaya Challenges of Pediatric Cataract Surgery in a Case of Seasonal Hyperacute Panuveitis (SHAPU) Case Reports in Ophthalmological Medicine |
| title | Challenges of Pediatric Cataract Surgery in a Case of Seasonal Hyperacute Panuveitis (SHAPU) |
| title_full | Challenges of Pediatric Cataract Surgery in a Case of Seasonal Hyperacute Panuveitis (SHAPU) |
| title_fullStr | Challenges of Pediatric Cataract Surgery in a Case of Seasonal Hyperacute Panuveitis (SHAPU) |
| title_full_unstemmed | Challenges of Pediatric Cataract Surgery in a Case of Seasonal Hyperacute Panuveitis (SHAPU) |
| title_short | Challenges of Pediatric Cataract Surgery in a Case of Seasonal Hyperacute Panuveitis (SHAPU) |
| title_sort | challenges of pediatric cataract surgery in a case of seasonal hyperacute panuveitis shapu |
| url | http://dx.doi.org/10.1155/2021/5591859 |
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