Lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report

Abstract A 57-year-old otherwise healthy male presented to our department seven days following uneventful pars-plana vitrectomy with gas tamponade for a superior bullous retinal detachment in the left eye. Ophthalmic examination revealed anterior segment inflammation with hypopyon and fibrinous exud...

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Autores principales:	Ksiaa Imen, Ben Hadj Tahar Meriam, Sellem Ilhem, Attia Sonia, Abroug Nesrine, Khairallah Moncef
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Pars-plana vitrectomy Gas tamponade Dislocated lens Lens-induced uveitis Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/d13037d62aa943eab68866722cd2f08e
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spelling	oai:doaj.org-article:d13037d62aa943eab68866722cd2f08e2021-11-21T12:25:46ZLens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report10.1186/s12348-021-00273-z1869-5760https://doaj.org/article/d13037d62aa943eab68866722cd2f08e2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12348-021-00273-zhttps://doaj.org/toc/1869-5760Abstract A 57-year-old otherwise healthy male presented to our department seven days following uneventful pars-plana vitrectomy with gas tamponade for a superior bullous retinal detachment in the left eye. Ophthalmic examination revealed anterior segment inflammation with hypopyon and fibrinous exudate. Intra-ocular pressure was 28 mmHg. Posterior segment evaluation was difficult to assess due to the presence of anterior capsule opacification and gas bubble. A Toxic Anterior Segment Syndrome was suspected, and the patient was treated with topical and oral corticosteroid medication in combination with anti-glaucomatous therapy. On follow-up, anterior segment inflammation and ocular hypertension improved. On day ten post-operatively, ocular ultrasonography demonstrated lens material inferiorly with attached retina. The final diagnosis of posterior lens nucleus dislocation with lens-induced uveitis was retained. The patient underwent an uneventful second vitrectomy with aspiration of the dislocated lens nucleus and sulcus three piece-lens implantation. On last follow-up, visual acuity was 20/50 with no relapsing of ocular inflammation and the retina remained reattached.Ksiaa ImenBen Hadj Tahar MeriamSellem IlhemAttia SoniaAbroug NesrineKhairallah MoncefSpringerOpenarticlePars-plana vitrectomyGas tamponadeDislocated lensLens-induced uveitisOphthalmologyRE1-994ENJournal of Ophthalmic Inflammation and Infection, Vol 11, Iss 1, Pp 1-4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pars-plana vitrectomy Gas tamponade Dislocated lens Lens-induced uveitis Ophthalmology RE1-994
spellingShingle	Pars-plana vitrectomy Gas tamponade Dislocated lens Lens-induced uveitis Ophthalmology RE1-994 Ksiaa Imen Ben Hadj Tahar Meriam Sellem Ilhem Attia Sonia Abroug Nesrine Khairallah Moncef Lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report
description	Abstract A 57-year-old otherwise healthy male presented to our department seven days following uneventful pars-plana vitrectomy with gas tamponade for a superior bullous retinal detachment in the left eye. Ophthalmic examination revealed anterior segment inflammation with hypopyon and fibrinous exudate. Intra-ocular pressure was 28 mmHg. Posterior segment evaluation was difficult to assess due to the presence of anterior capsule opacification and gas bubble. A Toxic Anterior Segment Syndrome was suspected, and the patient was treated with topical and oral corticosteroid medication in combination with anti-glaucomatous therapy. On follow-up, anterior segment inflammation and ocular hypertension improved. On day ten post-operatively, ocular ultrasonography demonstrated lens material inferiorly with attached retina. The final diagnosis of posterior lens nucleus dislocation with lens-induced uveitis was retained. The patient underwent an uneventful second vitrectomy with aspiration of the dislocated lens nucleus and sulcus three piece-lens implantation. On last follow-up, visual acuity was 20/50 with no relapsing of ocular inflammation and the retina remained reattached.
format	article
author	Ksiaa Imen Ben Hadj Tahar Meriam Sellem Ilhem Attia Sonia Abroug Nesrine Khairallah Moncef
author_facet	Ksiaa Imen Ben Hadj Tahar Meriam Sellem Ilhem Attia Sonia Abroug Nesrine Khairallah Moncef
author_sort	Ksiaa Imen
title	Lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report
title_short	Lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report
title_full	Lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report
title_fullStr	Lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report
title_full_unstemmed	Lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report
title_sort	lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/d13037d62aa943eab68866722cd2f08e
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Lens-induced hypopyon uveitis as the presenting manifestation of posterior lens nucleus dislocation following pars-plana vitrectomy: case report

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