A 72 year-old man with a
right 6/36 cataract underwent phacoemulsification and implant.
Perioperatively, the surgery was complicated by recurrent iris prolapse due
to floppy iris. The patient was not on any
α-blockers such as tamsulosin for prostate cancer.
Some cortical materials at
the peripheral capsule was not aspirated because of miosis (due to constant
iris repositioning) which made their removal difficult. Post-operatively,
the vision improved to 6/12 unaided. A small lump of cortical lens matterwas
seen at the inferior anterior chamber. The patient was advised to increase
his topical steroid to 2 hourly to reduce post-operative inflammation.
Unlike retained nucleus,
retained cortical lens matter usually do not require removal as they are
easily phagocytosed by macrophages and removed from the eye.
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Iris atrophy secondary to recurrent
iris prolapse.
Cortical lens matter in the
inferior anterior chamber.
Close-up view of a fluffy lump of
cortical lens matter. |
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