Abstract 99. Jahrestagung der DOG, 29. 9. - 2. 10. 01 im ICC, Berlin

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Persistent iritis 6 months after cataract surgery

Fuchs H. A., Becker K. A., Auffarth G. U.

Univ.-Augenklinik Heidelberg, INF 400, 69120 Heidelberg

Case report: A 81-years-old patient complaint about pain and decreased vision on the right eye. Six months ago she underwent uneventful cataract surgery. She was treated for iritis with local steroids without any improvement over two months. Another ophthalmologist found at 7o'clock in the chamber angle a tumor and referred her for further diagnosis and treatmen. Ultrasound biomecroscopy showed a foreign body material in the chamber angle, which could be seperated clearly from the surrounding uveal structures. There was 2+ cell and tyndall reaction in the anterior chamber, VA was 0.63p. The foreign body could be uneventfully removed by anterior chamber irrigation and aspiration. It showed to be a nucleus fragment, which had not been resolved 6 months after cataract surgery. One week after removal of the nucleus fragment there was virtually no inflammatory reaction in the AC anymore and VA did increase to 0.8-1.0p.




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