Lens in Anterior Chamber of the Eye: Surgical Removal

1953 ◽  
Vol 20 (4) ◽  
pp. 437-440 ◽  
Author(s):  
R. L. ALEXANDER ◽  
R. J. KENNEDY
Keyword(s):  
Anterior Chamber ◽  
Surgical Removal

scholarly journals Implantation epithelial iris cyst following the perforating corneal injury

2006 ◽  
Vol 134 (3-4) ◽  
pp. 151-154
Author(s):  
Milos Jovanovic ◽  
Zoran Latkovic
Keyword(s):  
Visual Acuity ◽  
Anterior Chamber ◽  
Cataract Extraction ◽  
Wound Management ◽  
Surgical Removal ◽  
Extracapsular Cataract Extraction ◽  
Secondary Cataract ◽  
Corneal Injury ◽  
Iris Cyst ◽  
Iris Prolapse

The objective of this case report was to present the development of implantation cyst following the perforating corneal injury, the problems related to the treatment, including total surgical excision of the cyst, the secondary cataract extraction, iridoplasty and the artificial intraocular lens reposition. A patient first presented with perforating corneal injury inflicted by a piece of wood, with the iris prolapse. Primary wound management, reposition of prolapsed iris and corneal sutures were performed four days after the injury. Eight months later, the patient was rehospitalized due to an implantation iris cyst and traumatic cataract. The cyst was excised, the extracapsular cataract extraction was done and the anterior chamber lens was implanted. Postoperative visual acuity was normal. Three years later, the patient presented for a follow-up examination, with the cyst filled up again, occupying two thirds of the anterior chamber. This time, the cyst was completely excised, all fibrous remnants of the secondary cataract were removed, and the iridoplasty was necessary due to large iris coloboma. Reposition of the anterior chamber lens was carried out. Histological examination revealed an implantation iris cyst covered by multilayered squamous epithelium. Normal visual acuity was achieved. The patient has been followed-up for six months uneventfully. Management of perforating corneal wound with iris prolapse may lead to development of an implantation iris cyst. Puncture of the cyst as well as incomplete excision will not solve the problem. Complete surgical removal of the iris cyst is the treatment of choice.

scholarly journals Surgical removal of a free-floating iris cyst in anterior chamber in a Han Chinese man

2014 ◽  
Vol 93 (6) ◽  
pp. e514-e515
Author(s):  
Xu-yuan Tang ◽  
Wei Han ◽  
Hong-guang Cui ◽  
Rong-rong Hu ◽  
Jian-yong Wang ◽  
...  
Keyword(s):  
Anterior Chamber ◽  
Han Chinese ◽  
Surgical Removal ◽  
Iris Cyst

Clinical case of successful treatment ocular hypertension caused by organic closure of anterior chamber angle after penetrating keratoplasty

2021 ◽  
pp. 54-56
Author(s):  
A.V. Egorova ◽  
◽  
A.V. Vasiliev ◽  
Keyword(s):  
Visual Acuity ◽  
Anterior Chamber ◽  
Ocular Hypertension ◽  
Successful Treatment ◽  
Penetrating Keratoplasty ◽  
Clinical Case ◽  
Surgical Removal ◽  
Anterior Chamber Angle ◽  
Acute Glaucoma ◽  
Chamber Angle

Clinical case of successful treatment ocular hypertension caused by organic closure of anterior chamber angle after penetrating keratoplasty is presented. The patient underwent keratoplasty in the right eye and on the first day after the operation the clinic of acute glaucoma attack in the operated eye was revealed. In view lack of effect from medication and laser treatment carried out, the synechiae surgical removal was done. Carbachol Intraocular Solution (0.1 ml MIO-CHOL Sterile Solution, APPASAMY OCULAR DEVICES (P) LTD. (PHARMA DIVISION), India) was injected into anterior chamber to narrow the pupil. But its action turned out to be paradoxical – instead of constriction there was sharp pupil dilation. In addition to standard treatment, the patient received keratoprotection and reparative therapy. To restore neurotrophic processes in the iris, intravenous infusions of 1000 mg of gliatilin were first performed, followed by a switch to the tablet form of this drug. After 4 months, the patient experienced increase in uncorrected visual acuity to 0.1; best corrected visual acuity – up to 0.2 with diaphragm against the background of complete absence of signs of inflammation. The graft was completely transparent, the intraocular pressure – 19 mm Hg, mydriasis persisted 5–6 mm, the reaction of the pupil to light appeared, but was weakened. Key words: ocular hypertension after penetrating keratoplasty, acute glaucoma attack, synechiae surgical removal.

scholarly journals Enterobius vermicularis in anterior chamber of eye

2019 ◽  
Vol 10 (6) ◽  
pp. 90-92
Author(s):  
Kabindra Bajracharya ◽  
Arjun Malla Bhari ◽  
Salma KC Rai ◽  
Saraswati Pandey
Keyword(s):  
Anterior Chamber ◽  
Oral Route ◽  
Severe Form ◽  
Posterior Chamber ◽  
Surgical Removal ◽  
Enterobius Vermicularis ◽  
Intestinal Nematode ◽  
Live Worm ◽  
Complicated Cataract ◽  
Posterior Chamber Intraocular Lens

Enterobius vermiculari which is often referred as pinworm, is an intestinal nematode which is transmitted through fecal-oral route. The extraintestinal presentation of the worm is rare.  A live worm, Enterobius vermicularis in anterior chamber is a very rare case. To present an unusual case of Enterobius vermicularis in anterior chamber of right eye in a 3 years old girl. Visual acuity assessment, slit lamp examination and ultrasonography of the eye were performed. The worm was found in anterior chamber of right eye at 8-9 o' clock hour position, coiling at the presentation. The living, white worm was freely moving and changing position frequently. There was hypopyon with exudates inferiorly. The pupil was irregular, posterior synechiae was present with cataractous lens. The living worm was removed surgically under general anesthesia and sent for microbiological examination. Synecholysis with lens aspiration and Posterior chamber intraocular lens implantation was done in second surgery. An adult worm in anterior chamber is rare. Treatment is surgical removal. The visual prognosis is not good when the case present with severe form of anterior uveitis and complicated cataract.

scholarly journals Foreign Body in the Anterior Chamber Presenting as Inflammatory Mass on the Iris

2021 ◽  
pp. 19-25
Author(s):  
Rajgopal Arvinth ◽  
Mimiwati Zahari ◽  
Sagili Chandrasekhara Reddy
Keyword(s):  
Foreign Body ◽  
Ct Scan ◽  
Anterior Chamber ◽  
Anterior Segment ◽  
Intraocular Foreign Body ◽  
Surgical Removal ◽  
Eye Drops ◽  
Metallic Foreign Body ◽  
Inflammatory Mass ◽  
X Ray

A 40-year- old male factory worker presented to our eye clinic with left eye pain, redness and blurring of vision, associated with history of an injury sustained while hammering a nail into the wall               three days ago.  He had mild symptoms at the onset of the injury.  Slit lamp examination of left eye showed a small, self-sealed laceration corneal wound at the temporal limbus and a smooth, well      defined, oval mass on the iris in the anterior chamber in the lower temporal quadrant. Rest of the anterior segment and fundus were normal. X-ray orbits showed no intraocular foreign body in the             left eye.  In view of clinical suspicion, we proceeded with a CT scan of orbits which showed the presence of a small metallic foreign body in the anterior chamber of left eye. After giving topical antibiotic, cycloplegic, and corticosteroid eye drops along with systemic antibiotics for three days, we planned surgical removal of the mass in the anterior chamber. After the mass was removed, we noted a small metallic foreign body embedded within the fibrin mass. The same treatment was continued postoperatively. The left eye became white and quiet, and vision improved to 6/6 with above treatment. The key learning point presented is that when the history is suggestive of intraocular foreign body, even though the X-ray orbits does not show the foreign body one has to get CT scan of orbits done to rule out its presence, especially when there is inflammatory mass in the anterior chamber as seen in our case.

Management of Anterior Chamber Dislocation of a Dexamethasone Implant

2019 ◽  
Vol 236 (04) ◽  
pp. 412-414 ◽  
Author(s):  
Thi Nguyen ◽  
Thomas Wolfensberger
Keyword(s):  
Visual Acuity ◽  
Anterior Chamber ◽  
Silicone Oil ◽  
Surgical Removal ◽  
Postoperative Phase ◽  
Corneal Oedema ◽  
Dexamethasone Implant ◽  
Corneal Damage ◽  
Removal Technique

Abstract Purpose To characterise the surgical removal technique of a dislocated dexamethasone implant in the anterior chamber and to gauge its success by analysing corneal transparency and subsequent visual acuity recovery in the postoperative phase. Methods Description of a patient who presented with an anterior chamber dexamethasone implant migration through an inferior iridotomy performed previously for a silicone oil fill in aphakia. Visual acuity had dropped to counting fingers due to marked corneal oedema. Results The implant was removed using a 23-g needle aligned with the axis of the implant through a paracentesis. After the clinical follow-up at 2 months, best-corrected visual acuity had returned to 0.2, which remained stable at the last follow-up at 14 months with an intraocular pressure of 10 mmHg. The corneal oedema resolved completely. Conclusion This novel surgical management of a dexamethasone implant dislocation into the anterior chamber was successful and resulted in no long-term corneal damage when the implant was removed without delay. A repeated Ozurdex injection in patients with previous inferior iridotomy may require prior suturing of the iridotomy.

scholarly journals Free-Floating Iris Cyst in a Patient with Recurrent Iritis

2015 ◽  
Vol 6 (2) ◽  
pp. 176-179 ◽  
Author(s):  
Joanne M.Y. Teong ◽  
Paul A. Adler ◽  
Dujon R.W. Fuzzard
Keyword(s):  
Anterior Chamber ◽  
Clinical Finding ◽  
Surgical Removal ◽  
Slit Lamp ◽  
Visual Symptoms ◽  
History Of ◽  
Iris Cyst

Purpose: We describe an unusual clinical finding of a free-floating iris cyst in a patient with recurrent iritis. Method: The clinical finding of a free-floating iris cyst was recorded using slit-lamp photography. Results: A 39-year-old male with a 5-year history of recurrent right iritis was found to have a small mobile iris cyst within his right anterior chamber, first identified 3 years ago. The patient did not experience any discomfort or visual symptoms resulting from the cyst. Conclusion: Surgical removal is not indicated for asymptomatic non-progressive free-floating iris cysts. The significance of a free-floating iris cyst in the setting of recurrent iritis remains unknown.

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