title: A Surprising Cause for Corneal Edema after Cataract Surgery: A Missed Posterior Chamber Intraocular Lens Haptic Remnant.
abstract: We present a case of retained intraocular lens (IOL) haptic segment in the anterior chamber, diagnosed seven months following a reportedly uneventful cataract surgery due to manifestation of inferior corneal edema. Specular microscopy revealed low endothelial counts of 513/mm(2). Upon diagnosis, prompt surgical removal of the IOL haptic segment resulted in rapid resolution of the corneal edema within a week. Despite the clearing of the cornea, no improvement in the visual acuity occurred and cystoid macular edema was diagnosed and treated with topical anti-inflammatory agents and two intra-vitreal anti-VEGF injections, followed by complete resolution of ocular findings and improvement of the visual acuity.
authors: a Sheba Medical Center, The Goldschleger Eye Institute , Tel Hashomer , Israel.
authors: Sivan
authors: S
authors: Elyashiv
authors: a Sheba Medical Center, The Goldschleger Eye Institute , Tel Hashomer , Israel.
authors: Irina
authors: I
authors: Barequet
mesh_terms: D000368:Aged; D000867:Anterior Chamber / Q000473:pathology; D002387:Cataract Extraction; D015715:Corneal Edema / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D020878:Device Removal; D005129:Eye Foreign Bodies / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006068:Gonioscopy; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D011475:Prosthesis Failure / Q000009:adverse effects*; D041623:Tomography, Optical Coherence
keywords: Cornea; edema; haptic; retained