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Klin Monbl Augenheilkd 2018; 235(04): 471-472
DOI: 10.1055/s-0043-124653
Der interessante Fall
Georg Thieme Verlag KG Stuttgart · New York

A Rare Case of Postoperative Iris Pigment Epithelium Detachment

Ein seltener Fall einer postoperativen Irispigmentepithel-Ablösung
Markus Tschopp
1   Department of Ophthalmology, Cantonal Hospital Aarau, Aarau, Switzerland
2   Department of Ophthalmology, Inselspital, University of Bern, Bern, Switzerland
,
Jens Krueger
3   Department of Ophthalmology, University of Basel, Basel, Switzerland
,
Federica Maria Conedera
2   Department of Ophthalmology, Inselspital, University of Bern, Bern, Switzerland
,
Margarita G. Todorova
3   Department of Ophthalmology, University of Basel, Basel, Switzerland
,
Pascal W. Hasler
3   Department of Ophthalmology, University of Basel, Basel, Switzerland
,
Christoph Tappeiner
2   Department of Ophthalmology, Inselspital, University of Bern, Bern, Switzerland
› Author Affiliations
Further Information

Publication History

received 20 September 2017

accepted 06 December 2017

Publication Date:
07 February 2018 (online)

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Intraocular inflammation with consecutive protein exudation and fibrin accumulation in the anterior chamber often leads to posterior synechiae. These synechiae are found in patients with anterior uveitis, but may also occur after intraocular surgery or trauma. In the early phase after synechiae formation, an application of mydriatic eye drops and fortified topical steroids may free these synechiae from the lens. However, if synechiae persist for a long time, surgical synechiolysis may be the only option. Impending complications of posterior synechiae such as iris bombe with intraocular pressure spikes may result [1], [2].

 

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