To the Editor.
—Lens-induced granulomatous uveitis, or phacoanaphylatic endophthalmitis, is a sterile inflammatory reaction to lens material following accidental or surgical rupture of the lens capsule. Although lensinduced granulomatous uveitis is a known complication of glaucoma surgery, since the introduction of modern microsurgical techniques it has rarely been reported following filtration surgery.In 1953, Christensen and McLean1 noted that 17 of 47 eyes enucleated after various types of glaucoma surgery demonstrated a rent in the lens capsule, with lens-induced uveitis frequently contributing to the loss of the eye. In 1980, Swan and Lindgren2 cited a total of 12 cases of histologically confirmed, lens-induced uveitis after glaucoma surgery. The clinical significance of this retrospective study, however, was questioned since the risk of unintentional lens rupture has presumably been eliminated with the routine use of the surgical microscope.3 The following case of lens-induced granulomatous inflammation developed after the
Margo CE, McKnight GT. Lens-Induced Granulomatous Uveitis Following Trabeculectomy. Arch Ophthalmol. 1988;106(8):1035. doi:10.1001/archopht.1988.01060140187015