Hypopyon uveitis following band keratopathy removal in ankylosing spondylitis-a case report.
OBJECTIVE
To report an interesting case of hypopyon uveitis following successive band keratopathy removal in both the eyes in a patient with ankylosing spondylitis.


METHODS
Retrospective case report.


RESULTS
A 70-year-old Indian male with ankylosing spondylitis and a 40-year history of chronic anterior uveitis underwent band keratopathy removal (EDTA chelation) in both eyes at an interval of six months. On both occasions, he developed a severe hypopyon uveitis on the first postoperative day, which was successfully treated with topical and oral steroids.


CONCLUSIONS
Any ocular procedure, even as trivial as band keratopathy removal, can elicit a severe uveitis in a chronically inflamed eye. The probable mechanisms are discussed.
Babu
Kalpana
K
Vittala International Institute of Ophthalmology, Bangalore, India. kb_7375@yahoo.co.in
Murthy
K Ramachandra
KR
D000368:Aged; D002908:Chronic Disease; D003315:Cornea / Q000473:pathology / Q000601:surgery; D003316:Corneal Diseases / Q000150:complications / Q000601:surgery*; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009184:Mydriatics / Q000627:therapeutic use; D013167:Spondylitis, Ankylosing / Q000150:complications*; D013492:Suppuration / Q000209:etiology; D014606:Uveitis, Anterior / Q000188:drug therapy / Q000209:etiology*
D005938:Glucocorticoids; D009184:Mydriatics