Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens

We present a case of fulminant panuveitis following iris suture fixation of a posterior chamber intraocular lens. We hypothesize that the zonular dehiscence allowed the inflammatory cells in the anterior compartment to gain access to the posterior segment mimicking endophthalmitis or toxic anterior...

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Main Authors: Ahmad M. Mansour, Shady T. Awwad
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2013/910342
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author Ahmad M. Mansour
Shady T. Awwad
author_facet Ahmad M. Mansour
Shady T. Awwad
author_sort Ahmad M. Mansour
collection DOAJ
description We present a case of fulminant panuveitis following iris suture fixation of a posterior chamber intraocular lens. We hypothesize that the zonular dehiscence allowed the inflammatory cells in the anterior compartment to gain access to the posterior segment mimicking endophthalmitis or toxic anterior segment syndrome. Also certain bulky lens designs, like the current Rayner hydrophilic acrylic lens, are difficult to manipulate and hold in the optic capture position, and hence the iris fixation of these lenses can be traumatic and lengthy. It is advised to exchange such lenses with 3-piece intraocular lenses that are easy to fixate.
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institution Kabale University
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-836b47aa430648209df5c39d0eeb2ec62025-08-20T03:37:31ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302013-01-01201310.1155/2013/910342910342Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular LensAhmad M. Mansour0Shady T. Awwad1Department of Ophthalmology, American University of Beirut, P.O. Box 1136044, Beirut, LebanonDepartment of Ophthalmology, American University of Beirut, P.O. Box 1136044, Beirut, LebanonWe present a case of fulminant panuveitis following iris suture fixation of a posterior chamber intraocular lens. We hypothesize that the zonular dehiscence allowed the inflammatory cells in the anterior compartment to gain access to the posterior segment mimicking endophthalmitis or toxic anterior segment syndrome. Also certain bulky lens designs, like the current Rayner hydrophilic acrylic lens, are difficult to manipulate and hold in the optic capture position, and hence the iris fixation of these lenses can be traumatic and lengthy. It is advised to exchange such lenses with 3-piece intraocular lenses that are easy to fixate.http://dx.doi.org/10.1155/2013/910342
spellingShingle Ahmad M. Mansour
Shady T. Awwad
Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens
Case Reports in Ophthalmological Medicine
title Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens
title_full Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens
title_fullStr Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens
title_full_unstemmed Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens
title_short Fulminant Panuveitis following Iris Suture Fixation of Posterior Chamber Intraocular Lens
title_sort fulminant panuveitis following iris suture fixation of posterior chamber intraocular lens
url http://dx.doi.org/10.1155/2013/910342
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AT shadytawwad fulminantpanuveitisfollowingirissuturefixationofposteriorchamberintraocularlens