title: Recurrent uveitis and pigment dispersion in an eye with in-the-bag acrylic foldable intraocular lens.
abstract: Phacoemulsification with in-the-bag intraocular lens (IOL) implantation is the standard procedure for cataract surgery. Pigment dispersion and uveitis can result when an IOL is placed in the sulcus. We report a case of a 64-year-old woman, with pigmentary glaucoma, who developed recurrent uveitis following uneventful cataract surgery and an in-the-bag hydrophobic acrylic IOL implant. Recurrent uveitis did not subside despite use of topical steroids over 3 months. Dilated examination revealed capsulophimosis with anterior dislocation of the IOL haptic. The mechanical trauma to the iris due to the displaced haptic was implicated as the cause of recurrent uveitis, which completely resolved after capsular excision and IOL repositioning. This case illustrates a rare cause of recurrent uveitis due to IOL haptic dislocation following severe capsulophimosis.
authors.affiliation: Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.
authors.forename: Monica
authors.initials: M
authors.lastname: Thakur
authors.affiliation: Vista Healthcare Clinic, Dubai, United Arab Emirates.
authors.forename: Prashant
authors.initials: P
authors.lastname: Bhatia
authors.affiliation: Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.
authors.forename: Garudadri
authors.initials: G
authors.lastname: Chandrasekhar
authors.affiliation: Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.
authors.forename: Sirisha
authors.initials: S
authors.lastname: Senthil
mesh_terms: D002387:Cataract Extraction / Q000009:adverse effects; D005260:Female; D005902:Glaucoma, Open-Angle / Q000150:complications* / Q000601:surgery; D006801:Humans; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D018918:Phacoemulsification; D016896:Treatment Outcome; D014605:Uveitis / Q000209:etiology* / Q000601:surgery*