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Ophthalmic Images
April 21, 2021

A Spiderweb-Like Fibrinous Reaction

Author Affiliations
  • 1Sri Sankaradeva Nethralaya, Guwahati, Assam, India
JAMA Ophthalmol. 2021;139(4):e210697. doi:10.1001/jamaophthalmol.2021.0697

A man in his 60s had a dense nuclear sclerotic cataract, a normal pupil, and no substantial medical or ocular history. He underwent phacoemulsification and intraocular lens implantation in the left eye. He presented on the first postoperative day with foggy vision. His visual acuity was 20/40 OS.

Slitlamp biomicroscopy with diffuse illumination revealed a fibrinous mesh in the anterior chamber, along with cells and flare. The mesh resembled a spiderweb woven across the pupillary borders (Figure).

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