Toxic endothelial cell destruction syndrome after intraocular lens repositioning with intracameral epinephrine.

Abstract

A 66-year-old Chinese man developed corneal endothelial decompensation after intraocular lens (IOL) repositioning using intracameral epinephrine was performed. The presentation was compatible with toxic endothelial cell destruction syndrome, which is caused by prolonged, direct exposure of the corneal endothelium to relatively high concentrations of intracameral epinephrine. Despite its effective and immediate mydriatic effect, intracameral epinephrine is not recommended for intraoperative mydriasis in procedures such as IOL repositioning or secondary IOL implantation in which minimal irrigating solution is used.

• Authors: Jeffrey C F Pong, Wilson W T Tang, Jimmy S M Lai
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 34 Issue 11 Pg. 1990-1 (Nov 2008) ISSN: 0886-3350 [Print] United States
• PMID: 19006750 (Publication Type: Case Reports, Journal Article)

Chemical References

• Mydriatics
• Epinephrine

Topics

• Aged
• Anterior Chamber (drug effects)
• Corneal Diseases (chemically induced)
• Endothelium, Corneal (drug effects)
• Epinephrine (adverse effects)
• Foreign-Body Migration (surgery)
• Humans
• Lenses, Intraocular
• Male
• Mydriatics (adverse effects)
• Reoperation
• Syndrome