Fig. 28. A case of lens capsular rupture during intracapsular cataract extraction. On postoperative day 1 (inset 1), there was considerable retention of lens capsular material nearly obscuring the anterior chamber. By postoperative day 14 (inset 2), considerable clearing of debris has occurred. At 2 months following surgery (inset 3), the anterior chamber was nearly clear. The clearing of the debris was through the action of macrophages ingesting the cortical debris and exiting the eye through the trabecular apparatus. Macrophages filled with lens cortical material from a different case are seen in the main figure. (Periodic acid-Schiff stain; × 700.) (Yanoff M, Scheie HG: Cytology of human lens aspirate. Its relationship to phacolytic glaucoma and phacoanaphylactic endophthalmitis. Arch Ophthalmol 80:166–170, 1968.) |