Postoperative inflammatory cell deposition on the surface of intraocular lenses (IOLs) is a well-described entity and considered part of the normal postoperative course. This inflammatory response, which is usually a visually insignificant finding, typically begins shortly after surgery and peaks at 3 months.
We describe a case of a patient who developed late-onset intraocular lens (IOL) cellular precipitates 8 months after IOL placement. The patient had a history of clinically inactive toxoplasmosis and developed visually significant IOL precipitates 8 months after uncomplicated cataract surgery with a previously unremarkable postoperative course without other signs of ocular inflammation. The IOL deposits improved and resolved with use of topical steroids, which coincided with an improvement in visual acuity.
The results of this case suggest that a trial of topical steroid therapy should be considered in patients presenting with late-onset precipitates on the surface of IOLs, even in the absence of concomitant intraocular inflammation.
This study has been performed in accordance with the Declaration of Helsinki. As a single case, no formal human subjects research review was required by the institution.
Written and signed consent was obtained from the patient for permission of publication of this case report.
All authors have read and approved the final manuscript. All authors equally participated in the drafting of the manuscript and review of the literature.
Authors declare they have no competing interests.
This study had no funding.