A Case of Phacoanaphylactic Uveitis Presenting as Endophthalmitis.

Kim, Ji Hye; Yoo, Woong Sun; Kong, Min Gui; Han, Yong Seop; Chung, In Young; Seo, Seong Wook; Yoo, Ji Myong; Kim, Seong Jae

doi:2016.57.9.1480

J Korean Ophthalmol Soc > Volume 57(9); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(9):1480-1483.
DOI: https://doi.org/10.3341/jkos.2016.57.9.1480 Published online September 15, 2016.

A Case of Phacoanaphylactic Uveitis Presenting as Endophthalmitis.

Ji Hye Kim, Woong Sun Yoo, Min Gui Kong, Yong Seop Han, In Young Chung, Seong Wook Seo, Ji Myong Yoo, Seong Jae Kim

¹Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea. maya12kim@naver.com
²Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.

자연적으로 발생한 수정체 관련 포도막염 1예

김지혜¹⋅유웅선¹⋅공민귀^1,2⋅한용섭^1,2⋅정인영^1,2⋅서성욱^1,2⋅유지명^1,2⋅김성재^1,2

경상대학교 의과대학 안과학교실¹, 경상대학교 건강과학연구원²

Correspondence: Seong Jae Kim,
Email: maya12kim@naver.com

Received: 16 June 2016 • Revised: 30 June 2016 • Accepted: 16 August 2016

Abstract

PURPOSE
To report a case of phacoanaphylactic uveitis presenting as endophthalmitis. CASE SUMMARY: A 77-year-old woman presented with sudden visual disturbance and painful red right eye. She did not have a history of trauma or surgery in her right eye. Her best corrected visual acuity was hand movement in the right eye and log MAR 0.22 in the left eye; intraocular pressure was 27 mm Hg in the right eye and 15 mm Hg in the left eye. Slit-lamp examination revealed corneal edema and prominent inflammation with hypopyon in the anterior chamber. B-scan showed vitreous opacity behind the lens. Based on the diagnosis of endophthalmitis, anterior chamber paracentesis and irrigation were performed. After irrigation, a hypermature cataract with intact anterior capsule was observed. Therefore, we performed extracapsular cataract extraction and intravitreal antibiotics injection. Gram staining of the aqueous humor revealed numerous macrophages filled with lens protein but no organisms. She was treated with hourly topical corticosteroid and an antibiotic agent. One month later, the anterior chamber is clear, and the cultures remained negative. CONCLUSIONS: We report a case of spontaneous phacoanaphylactic uveitis presenting as endophthalmitis in a patient with no history of eye trauma or surgery.

Key Words: Anterior chamber paracentesis;Endophthalmitis;Macrophages;Phacoanaphylactic uveitis