A Case of Endophthalmitis 8 Years after Transscleral Fixation of Intraocular Lens
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Accession number;04A0178222
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| Title;A Case of Endophthalmitis 8 Years after Transscleral Fixation of Intraocular Lens |
| Author;
TASHIMO ASAKO
(School of Medicine, Sapporo Medical Univ., JPN)
MITAMURA YOSHINORI
(School of Medicine, Sapporo Medical Univ., JPN)
OTSUKA KENJI
(School of Medicine, Sapporo Medical Univ., JPN)
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Journal Title;Journal of the Eye
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Journal Code:Y0754A
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ISSN:0910-1810
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VOL.21;NO.2;PAGE.258-260(2004)
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| Figure&Table&Reference;FIG.3, REF.11 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We report a case of late endophthalmitis after transscleral fixation of intraocular lens (IOL). The patient, a 67-year-old male, had undergone cataract surgery and transscleral fixation of IOL for traumatic cataract in 1994. Eight years after that surgery, he experienced sudden decrease of vision and ocular pain in his left eye and was diagnosed with endophthalmitis with hypopyon, high intraocular pressure and vitreous opacity. The IOL fixation suture was exposed on the conjunctiva. IOL removal, pars plana vitrectomy and medical therapy were undertaken and the inflammation subsided, but final visual acuity remained 0.09. Although cultures of the vitreous fluid and IOL were negative, bacterial endophthalmitis was suspected because of the ocular findings and clinical course. At the time of surgery, the scleral flap for covering the suture was not found. It was considered that the suture had eroded through the conjunctiva, providing the route of the infection. (author abst.) |
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