Late corneal edema due to retained foldable lens fragment.
Late onset of corneal edema after cataract surgery is an unusual complication. We report a case of corneal edema presenting one month after cataract surgery. During implantation of the foldable lens, one haptic of the intraocular lens fractured at the optic haptic junction. This caused lens decentration, necessitating an intraocular lens exchange ten days later. The patient was recovering well but presented again two weeks later with a drop in vision due to corneal edema. A retained haptic of the intraocular lens was seen in the inferior anterior chamber angle. After surgical removal of the retained haptic the corneal edema fully resolved. Retained intraocular lens fragments can cause corneal endothelial damage, which may be reversible with an early diagnosis and intervention.
Gokhale
Nikhil S
NS
Gokhale Eye Hospital and Eyebank, Mumbai-400 028, India. gokhlay@vsnl.com
D000368:Aged; D015715:Corneal Edema / Q000209:etiology*; D020878:Device Removal; D005129:Eye Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D018918:Phacoemulsification; D011475:Prosthesis Failure; D012086:Reoperation