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Signs:
Acute severe inflammatory reaction of anterior chamber within 12-48 hours after
surgery
Corneal edema limbus to limbus
Dilated or irregular pupil
Increased intraocular pressure
Lack of bacterial or fungal growth from cultures of intraocular taps
Good response to topical ophthalmic steroid drops
Diagnostic Procedures
All patients should have a slit lamp exam and dilated fundus exam.
The posterior pole may be difficult to view if there is severe anterior
chamber reaction. In these situations, the patient should have an
ultrasound B-scan to rule out any posterior reaction. Both aqueous
and vitreous taps are sent for culture to investigate for an infectious
process.
Differential diagnosis
Infectious endophthalmitis
Retained lens material
Uveitis
Complication
Severe inflammation
Pain
Vision loss
Iris atrophy either dilated or irregular pupil
Cornea endothelial damage with corneal edema
Trabecular meshwork damage with possible secondary glaucoma
Medical therapy