Lens Particle Glaucoma with Intraocular Foreign Body

Young Hoon Hwang; Dong Su Kim; Sang Woong Moon; Dae Young Lee

doi:10.3341/jkos.2007.48.12.1723

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Hwang, Kim, Moon, and Lee: Lens Particle Glaucoma with Intraocular Foreign Body

Original Article

J Korean Ophthalmol Soc 2007;48(12):1723-1727.

Published online: 30 August 2007

DOI: https://doi.org/10.3341/jkos.2007.48.12.1723

Lens Particle Glaucoma with Intraocular Foreign Body

Young Hoon Hwang, M.D.¹, Dong Su Kim, M.D.¹, Sang Woong Moon, M.D.¹, Dae Young Lee, M.D.²

¹Department of Ophthalmology, College of Medicine, Inje University, Seoul Paik Hospital, Seoul, Korea

²Department of Ophthalmology, Gachon University of Medicine and Science, Gil Medical Center, Incheon, Korea

Address reprint requests to Dae Young Lee, M.D., Department of Ophthalmology, Gachon University of Medicine and Science, Gil Hospital, #1198 Guwol-dong, Namdong-gu, Incheon-si 405-760, Korea Tel: 82-32-460-3360, Fax: 82-32-460-3358, E-mail: leedy91@yahoo.co.kr

Received 27 December 2006 Accepted 21 August 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of acute lens particle glaucoma with an intraocular foreign body that persisted for a long duration.

Case summary

A 47-year-old man visited our clinic due to severe pain in his right eye. His uncorrected visual acuity was hand movement, and intraocular pressure (IOP) measured by a Goldmann applanation tonometer was 76 mmHg in the right eye. Severe corneal edema and floating lens materials in the anterior chamber were revealed by slit-lamp examination. An ultrasonography scan showed that the lens had dislocated into the vitreous cavity and revealed vitreous opacities. To remove lens materials and control IOP, anterior chamber irrigation and trans pars plana vitrectomy with lensectomy were performed under local anesthesia. During the operation, an intraocular foreign body was removed from the anterior chamber. Dislocated lens particles were removed by vitrectomy. After the operation, his best corrected visual acuity was 1.0, and intraocular pressure was 12 mmHg in the right eye.

Conclusions

Close observation is needed in cases with lens particle glaucoma, because a long-persisting intraocular foreign body can be accompanied by lens particle glaucoma.

Keywords: Intraocular foreign body, Lens particle glaucoma

References

1. Williams DF, Mieler WF, Abrams GW, Lewis H. Results and prognostic factors in penetrating ocular injuries with retained intraocular foreign bodies. Ophthalmology. 1988; 95:911–6.

2. Begle HL. Perforating injuries of the eye by small steel fragments. Am J Ophthalmol. 1929; 12:970–7.

3. Barendtrup P. Two cases of temporary siderosis bulbi with spontaneous resoprtion and without impairment of function. Acta Ophthalmol. 1944; 22:311–6.

4. Ahn M. Noninfectious endophthalmitis caused by an intraocular foreign body retained for 16 years. J Korean Ophthalmol Soc. 2001; 42:793–6.

5. Lin HC, Wang HZ, Lai YH. Occult plastic intravitreal foreign body retained for 30 years: a case report. Kaohsiung J Med Sci. 2006; 22:529–33.

6. Allingham RR. Shields’ textbook of glaucoma. 5th ed.Philadelphia: Lippincott Williams & Wilkins;2005. p. 322–5.

7. Epstein DL. Diagnosis and management of lens-induced glaucoma. Ophthalmology. 1982; 89:227–30.

8. Epstein DL, Jedziniak JA, Grant WM. Obstruction of aqueous outflow by lens particles and by heavy-molecular-weight soluble lens proteins. Invest Ophthlamol Vis Sci. 1978; 17:272–7.

9. Kim JH. Cataract. 1st ed.Seoul: Ilchokak;2002. p. 358–9.

10. Pieramici DJ, Capone A Jr, Rubsamen PE, Roseman RL. Lens preservation after intraocular foreign body injuries. Ophthalmology. 1996; 103:1563–7.

11. Perlman EM, Albert DM. Clinically unsuspected phacoanaphylaxis after ocular trauma. Arch Ophthalmol. 1977; 95:244–6.

12. Rahi AHS, Misra RN, Morgan G. Immunology of the lens. Humoral and cellular immune responses to autologous lens antigens and their roles in ocular inflammation. Br J Ophthalmol. 1977; 61:371–9.

Figure 1.

Photograph of the right eye at first visit. Floating “fluffed-up” lens materials were shown in deep anterior chamber.

Figure 2.

Ultrasonograph of the right eye at first visit. Dislocated lens and vitreous opacities were revealed.

Figure 3.

Intraoperative photograph of the right eye (operator's view) at first visit. Intraocular foreign body at 6 o'clock position angle was removed by intraocular forceps.

Figure 4.

Photograph of removed intraocular foreign body with 2 mm length and 1mm width.

Figure 5.

Photograph of the right eye 3 months after the operation. The cornea and anterior chamber were clear with aphakic state.

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