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VOLUME 95 , ISSUE 2E ( March-April, 2021 ) > List of Articles


Late-onset anterior chamber inflammatory reaction after uneventful cataract surgery: Case report

Alejandra Méndez-León, Claudia Corredor-Ortega, Roberto Gonzalez-Salinas, Guadalupe Cervantes-Coste, Cecilio Velasco-Barona

Keywords : Retained nuclear fragment, Anterior chamber, Late-onset inflammation, Cataract surgery

Citation Information : Méndez-León A, Corredor-Ortega C, Gonzalez-Salinas R, Cervantes-Coste G, Velasco-Barona C. Late-onset anterior chamber inflammatory reaction after uneventful cataract surgery: Case report. 2021; 95 (2E):84-87.

DOI: 10.24875/RMOE.M21000160

License: CC BY-NC-ND 4.0

Published Online: 16-03-2021

Copyright Statement:  Copyright © 2020 Sociedad Mexicana de Oftalmología. Published by Permanyer


Retained nuclear fragments are a potential complication after cataract surgery and its frequency increases after intraoperative complications such as a posterior capsular tear. When fragments are retained in the anterior chamber, usually there is a postoperative inflammatory reaction during the first days or weeks after surgery. We present the case of a 78-year-old male patient who attended our practice due to sudden onset of red-eye and ocular pain 13 months after uneventful cataract surgery, with no symptoms during this time period. Due to the presence of a retained nuclear fragment in the anterior chamber, surgical removal was performed. After the procedure, all signs and symptoms disappeared. Despite its low frequency, it is important to consider retained nuclear fragments as a possible cause in patients with a late-onset inflammatory reaction after uneventful cataract surgery.

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  1. Asensio-Sánchez VM, Ajamil S, Ramoa-Osorio R, Trujillo-Guzmán L. Edema macular agudo 2 años después de la cirugía de catarata por un fragmento nuclear retenido. Arch Soc Esp Oftalmol. 2014;89(7):272-4.
  2. Hui JI, Fishler J, Karp CL, Shuler MF, Gedde SJ. Retained Nuclear Fragments in the Anterior Chamber after Phacoemulsification with an Intact Posterior Capsule. Ophthalmology. 2006;113(11):1949-53.
  3. Mokhtarzadeh A, Kaufman SC, Koozekanani DD, Meduri A. Delayed presentation of retained nuclear fragment following phacoemulsification cataract extraction. J Cataract Refract Surg. 2014;40(4):671-4.
  4. Pandit RT, Coburn AG. Sudden corneal edema due to retained lens nuclear fragment presenting 8.5 years after cataract surgery. J Cataract Refract Surg. 2011;37(6):1165-7.
  5. Kang HM, Park JW, Chung EJ. A retained lens fragment induced anterior uveitis and corneal edema 15 years after cataract surgery. Korean J Ophthalmol. 2011;25(1):60-2.
  6. Oliveira C, Liebmann JM, Dodick JM, Topilow H, Cykiert R, Ritch R. Identification of Retained Nucleus Fragment in the Posterior Chamber Using Ultrasound Biomicroscopy. Am J Ophthalmol. 2006;141(5):964-6.
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