Hypopyon iritis after primary fresh amniotic membrane transplantation.

PURPOSE: To report the occurrence of hypopyon iritis after primary, fresh amniotic membrane transplant (AMT).

METHODS

A case report of a 65-year-old man who underwent AMT along with placement of hydrophilic contact lens for symptomatic relief of pseudophakic bullous keratopathy for the first time. The amniotic membrane (AM) transplanted was obtained freshly after an elective cesarean section.

RESULTS

The patient developed hypopyon on the second postoperative day. Culture of remnants of AM and contact lens were negative. Hypopyon did not respond to periocular antibiotics but disappeared with periocular steroids. Hypopyon was noticed again at 1-week follow-up because of poor compliance of the patient. It again responded to periocular steroids. At 1-year follow-up, the patient is asymptomatic with 20/600 vision.

CONCLUSIONS

Sterile hypopyon iritis appeared after primary AMT with fresh AM, and it disappeared with periocular steroids.