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Why this persistent postsurgical anterior uveitis? Anterior Segment-Optical Coherence Tomography (AS-OCT) can help us

Poster Details

First Author: I.Henares Fernández SPAIN

Co Author(s):    S. Nerea   A. Raquel           

Abstract Details


To demonstrate the utility of Anterior Segment - Optical Coherence Tomography (AS-OCT) in persistent postsurgical anterior uveitis after uncomplicated phacoemulsification cataract extraction with intraocular lens implantation in a 75-year-old man’s left eye.


Basurto Universitary Hospital, Basque Country, Spain


Uneventful phacoemulsification was done. One week post-op the best corrected visual acuity (BCVA) was 20/40. One month post-op BCVA decreased to 20/60, and curiously, it was noticed a persistent moderate Tyndall in the anterior chamber despite topical dexamethasone drop therapy. The fundus examination revealed cystoid macular oedema (CME) that macular Spectral Domain-OCT confirmed, so we added Nepafenac three times a day for six weeks and insisted in the importance of complying all the treatment. In the next visit BCVA improved to 20/40. Lower but persistent Tyndall was observed.


In order to look for any explanation of this persistent postsurgical anterior hypo and normotensive uveitis AS-OCT was done, and we observed a lasting small nucleus cataract fragment under the inner part of the corneal temporal incision. Because of the incision plane and corneal arcus senilis it was not possible to distinguish this fragment in the slit lamp examination, as the AS-OCT did. The fragment was surgically removed and nowadays BCVA is 20/20 with no more CME in macular SD-OCT.


The AS-OCT can be useful when corneal opacities do not let us examine the inner cornea

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