Work

Acute crystalline lens opacification following intracameral phenylephrine during retinal detachment surgery requiring unplanned phaco-vitrectomy

Year: 2026

Type: article

Abstract: Intracameral phenylephrine is commonly used during intraocular surgery to facilitate pupillary dilation. Previous reports have described transient anterior capsule and cortical lens discolouration following intracameral phenylephrine administration. We describe a case of acute crystalline lens opacification developing immediately following intracameral phenylephrine administration during pars plana vitrectomy for rhegmatogenous retinal detachment. The resultant loss of retinal visualization necessitated conversion to an unplanned phaco-vitrectomy. Vitreoretinal surgeons should be aware of this rare but potentially significant complication when using intracameral phenylephrine in phakic eyes.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjag978

Authors: Ananth Ranjit, Panagiotis Tsoutsanis, Konstantinos Kaprinis

Institutions: Rochdale Infirmary, Northern Care Alliance NHS Foundation Trust, University of Manchester

Language: English

Topic: Retinal and Macular Surgery

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000