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Published bySandra Cobb Modified over 9 years ago
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Lens induced Uveitis Dr. Rathinam Sivakumar HOD - Uveitis Services Dr. Radhika. T Consultant, Uveitis Service Dr. Vedhanayaki Rajesh Dr. Vedhanayaki Rajesh Consultant, Uveitis Service
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Ocular History 64 Year old man OS: Defective vision – 6 months duration Pain and redness – 3 days
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First Presentation First Presentation VA: OD 6/18, OS HM IOP: OD 10mm Hg; OS 18mm Hg by NCT OD: Quiet, PCIOL OS: Diffuse congestion; Granulomatous KP's on endothelium AC 3+ cells; Pseudohypopyon Hypermature Cataract
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First Presentation - US OS – Anterior Vitritis
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Diagnosis Lens-induced uveitis
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Treatment Prednisolone e/d Hourly followed by tapering therapy Homatropine e/d twice/day
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Follow up – after 2 weeks OD - Quiet OS Inflammation has decreased small incision cataract surgery with IOL
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Follow up – after 4 weeks OU - Quiet
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Conclusion Lens induced uveitis occurs due to lens protein leak into AC through external lens capsule in hypermature cataract also following penetrating trauma and injury to anterior lens capsule Treatment includes early cataract extraction with or without IOL implantation under steroid cover Visual prognosis is good!!
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