An unsuspected case of lens-induced uveitis: A case report

We report here a case of unsuspected lens-induced uveitis occurring after small incision cataract surgery (SICS) in a 47-year-old man as a result of retained lens fragment, resulting in a painful blind eye over a period of 1 year. This was not recognized post-operatively on account of a hyphema that developed in the post-operative period. The true nature of the condition became apparent only on histopathological examination of the enucleated eye ball. The gross examination showed that a part of the cataractous lens along with some of its capsule was retained. The intra-ocular lens (IOL) was displaced and an exudate filled the cavity. Microscopy revealed the retained lens fragment, an acute-on-chronic inflammatory reaction with fibrosis in the interior of the eyeball