Inflammatory Precipitates in an Air Bubble in the Aqueous Humor

The patient was a 65‐year‐old man who had undergone cataract surgery. Owing to a minor Descemet’s membrane detachment in the frontal part of the main wound, an air bubble was injected into the anterior chamber (AC) of the eye. On postoperative day (POD) 1, approximately 50% of the AC consisted of air, and the AC cells were reported to be 2 plus. On POD 2, the patient was referred to the clinic for red eye. In slit lamp examination, there were 4+ AC cells without vitreous involvement. Also a 20% air bubble was noted in the AC [Figures 1a and 1b], and extensive inflammatory precipitates were detected over the air bubble, resembling in shape the keratic precipitates (KPs) on the corneal endothelium.[1] However, there were actually no KPs in this case. An hourly dose of betamethasone eye drop was prescribed. The patient’s symptoms of red eye, air bubble, and the inflammatory precipitates were completely resolved by POD 5. The gonioscopy results were normal. Inflammatory Precipitates in an Air Bubble in the Aqueous Humor