IRVINE-GASS SYNDROME ASSOCIATED WITH ANTERIOR CHAMPER OINTMENT AFTER CATARACT SURGERY

To report a case with Irvine-Gass syndrome caused by migrated intraocular ointment after uneventful cataract surgery.

A 68-year old female patient presented four months post uncomplicated cataract surgery complaining of tan buoyant substance in the anterior chamber which has been present since day one following the surgery.

This was consistent with Tobradex ointment migrated into the eye through the main wound into the eye. Obviously, there was no signs of anterior chamber inflammation. She was managed in the operating theater by burping the ointment through the prior clear corneal incision, followed by irrigation of the anterior chamber. Also, Irvine-Gass syndrome was detected three months following surgery, which was improved following removal of the bubble. Interestingly, similar case was presented with the same picture and treated accordingly as this case. 

A case report. 

The patient was managed in the operating theater by burping the ointment through the prior clear corneal incision, followed by irrigation of the anterior chamber and macular edema was improved following removal of the bubble

In this case, tobradex ointment had presumably migrated into the anterior chamber through a corneal incision after cataract surgery. The removal of the intraocular ointment improved  macular edema. This is the second case in our department.