Intracapsular infection after small-incision lenticule extraction

J Cataract Refract Surg. 2018 Nov;44(11):1394-1395. doi: 10.1016/j.jcrs.2018.07.043. Epub 2018 Oct 9.

Abstract

A 40-year-old man had uneventful small-incision lenticule extraction. Three days later, the uncorrected distance visual acuity was 20/20 and the cornea was clear without intraocular inflammatory in both eyes. At 6 days, the patient presented with a foreign-body sensation in the right eye but with no decrease in vision. Dense infiltration was visible at the inferior nasal corneal rim on slitlamp microscopy. Anterior segment optical coherence tomography showed the lesion in the junction of the capsular bag and the lenticular edge. Confocal microscopy showed a large number of inflammatory cells and dendritic cells in the infiltration area. After the patient's frequent use of antibiotic and glucocorticoid eyedrops, the inferior corneal infiltration was absorbed and there were significantly fewer inflammatory cells and dendritic cells.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Eye Infections / etiology*
  • Humans
  • Male
  • Myopia / surgery*
  • Postoperative Complications / etiology*
  • Refractive Surgical Procedures / adverse effects*
  • Surgical Wound Infection / pathology