Phacoanaphylactic endophthalmitis: a rare cause of postoperative intraocular inflammation

Awi, Leena Khalida and Ibrahim, Khairul Anwar and Abdul Razak, Zulhilmi (2025) Phacoanaphylactic endophthalmitis: a rare cause of postoperative intraocular inflammation. Asian Journal of Medicine and Health Sciences, 8 (2). pp. 267-272. E-ISSN 2637 - 0603

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Abstract

Phacoanaphylactic endophthalmitis (PE) is an uncommon and rare immune response to retained lens material after cataract surgery. This case involves a 71-year-old diabetic man who developed PE following a complicated cataract surgery with posterior capsule rupture (PCR) and retained lens fragments. The patient initially presented with mild postoperative inflammation, but eventually developed granulomatous uveitis, vitritis, and vasculitis. The diagnosis was made based on clinical findings and intraoperative evidence of retained lens material during pars plana vitrectomy (PPV) and anterior chamber washout, which led to resolution of inflammation and improvement in vision, though anterior chamber and vitreous chamber tap were not performed. Early recognition and timely surgical intervention are crucial in managing PE, especially in diabetic patients prone to postoperative complications.

Item Type:	Article (Case Report)
Uncontrolled Keywords:	Cataract surgery, diabetes mellitus, lensectomy, phacoanaphylactic endophthalmitis, vitrectomy surgery.
Subjects:	R Medicine > RE Ophthalmology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Ophthalmology Sultan Ahmad Shah Medical Centre (SASMEC) Kulliyyah of Medicine
Depositing User:	Dr Khairul Anwar Ibrahim
Date Deposited:	12 Nov 2025 16:14
Last Modified:	12 Nov 2025 16:14
URI:	http://irep.iium.edu.my/id/eprint/124342

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