PMC3039198_01
Slit lamp examination shows the lens fragment in the inferior portion of the anterior chamber of the right eye.
kjo-25-60-g001.jpg
PMC3039198_01_kjo-25-60-g001.jpg
F1
A small whitish fragment, previously diagnosed as hypopion at the private eye clinic, was observed in the inferior portion of the AC (Fig. 1). After dilation with mydriatics, a retained lens fragment was identified in the superior capsule.
Slit lamp examination two months after removal of the lens fragment shows improved corneal edema.
kjo-25-60-g002.jpg
PMC3039198_01_kjo-25-60-g002.jpg
F2
A two-month post-operative OD follow-up examination revealed reduced corneal edema and subsequent improvement of visual acuity to 0.7 by Snellen visual acuity chart (Fig. 2).
Specular pachymetry two months after removal of the lens fragment shows a significant decrease in endothelial cell count (458 cells/mm2) and loss of hexagonality in the right eye. (A) Right eye. (B) Left eye. R=right; C=photograph serial number; T=corneal thickness; N=no. of cells picked up; Min=minimum cell area; Max=maximum cell area; AVG=average cell area; SD=standard deviation; CV=coefficient of variation; CD=cell density; L=left.
kjo-25-60-g003.jpg
PMC3039198_01_kjo-25-60-g003.jpg
F3
Although the OD cornea was clear, an endothelial cell count showed 458 cells/mm2, and specular pachymetry revealed significant loss of hexagonality (Fig. 3A and 3B).