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Ophthalmic Images

Pseudohypopyon after cataract surgery

Kumar, Nitin; Bansal, Reema

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Indian Journal of Ophthalmology: September 2020 - Volume 68 - Issue 9 - p 1973
doi: 10.4103/ijo.IJO_499_20
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A 50-year-old female presented to us with decreased vision (hand motions) in the left eye after cataract surgery done elsewhere 1 month ago. Diagnosed by the primary surgeon as endophthalmitis, she had received intravitreal antibiotics. The left eye examination revealed intraocular pressure 40 mmHg, aphakia, and mild cellular reaction. The retained lens matter mimicked a hypopyon of almost one-third anterior chamber height [Fig. 1]. Posterior segment examination and ultrasonography revealed retained lens matter. She underwent pars plana vitrectomy for removal of lens matter. Retained lens matter in the anterior chamber can present as pseudohypopyon mimicking postoperative endophthalmitis.[12]

Figure 1
Figure 1:
Slit-lamp diffuse photograph of the left eye showing aphakia with retained cortical matter presenting as pseudohypopyon

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

1. Prakash G, Kumar A, Purohit A. Unusual case of residual cortical lens matter in anterior chamber Br J Ophthalmol. 2003;87:1421
2. Yeo LM, Charteris DG, Bunce C, Luthert PJ, Gregor ZJ. Retained intravitreal lens fragments after phacoemulsification: a clinicopathological correlation.Br J Ophthalmol. 1999;83:1135–8
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