Endophthalmitis due to exposure of anterior chamber intraocular lens haptic tip.
After bilateral implantation of an angle-supported anterior chamber intraocular lens (AC IOL) in an allergic patient, the haptic tips were exposed through the limbus in the left eye. Endophthalmitis developed in the eye and was treated by pars plana vitrectomy, IOL extraction, and intravitreal antibiotic injection. Haptic repositioning was performed in the right eye. In this report, we assess the possibility that exposure of the angle-supported AC IOL haptics caused the endophthalmitis. We hypothesized that vigorous rubbing of the eye of the atopic patient might cause limbal erosion that could lead to exposure of the angle-supported AC IOL haptic through the limbus.
Gungel
Hulya
H
Beyoglu Eye Education and Research Hospital 4 Eye Clinic, Istanbul, Turkey. hulyagungel@msn.com
Altan
Cigdem
C
Baylancicek
Deniz Oygar
DO
D000867:Anterior Chamber / Q000293:injuries* / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002114:Calcinosis / Q000209:etiology; D003229:Conjunctival Diseases / Q000209:etiology; D004359:Drug Therapy, Combination; D009877:Endophthalmitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D015807:Eye Injuries, Penetrating / Q000209:etiology*; D005260:Female; D006801:Humans; D007498:Iris / Q000293:injuries* / Q000473:pathology; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008855:Microscopy, Electron, Scanning; D008875:Middle Aged; D018918:Phacoemulsification; D011475:Prosthesis Failure; D012086:Reoperation
D000900:Anti-Bacterial Agents