Massive pseudophakic pigment dispersion associated with an iris nevus.
A 67-year-old woman examined 12 months following extracapsular cataract extraction had a massive pseudophakic pigment dispersion associated with diffuse corneal epithelial edema, mild uveitis, and secondary glaucoma. She underwent penetrating keratoplasty following removal of a posterior chamber intraocular lens (IOL), anterior vitrectomy, capsulectomy, and iris biopsy. Histopathologic examination revealed a pigmented iris nevus and signs of iris erosion by the IOL loop. Because 3 months later the eye developed streptococcal endophthalmitis and had to be eviscerated, we had the opportunity to examine the eye contents; we found no evidence of phakoanaphylactic uveitis.
Kremer
I
I
Department of Ophthalmology, Beilinson Medical Center, Petah Tiqva, Israel.
Cohen
S
S
Loya
N
N
Sandbank
U
U
D000368:Aged; D016039:Corneal Transplantation; D005260:Female; D006801:Humans; D007498:Iris / Q000473:pathology; D007499:Iris Diseases / Q000473:pathology* / Q000601:surgery; D007910:Lenses, Intraocular; D008543:Melanins / Q000378:metabolism*; D009508:Nevus, Pigmented / Q000473:pathology* / Q000601:surgery; D011183:Postoperative Complications / Q000473:pathology* / Q000601:surgery; D014604:Uveal Neoplasms / Q000473:pathology* / Q000601:surgery
D008543:Melanins