Malignant glaucoma induced by an intraocular lens.
A case of malignant (ciliary block) glaucoma apparently induced by a large posterior chamber intraocular lens (PC-IOL) is presented. The involved eye was small, with an axial length of 21.7 mm and a preoperative refractive error of +8.25 D. An uncomplicated extracapsular cataract extraction with implantation of a PC-IOL with a 7 mm optic was performed. Within 1 week postoperatively, malignant glaucoma developed, for which surgical intervention was required. We recommend avoiding implantation of PC-IOLs with large optics in certain small eyes, since these implants may be more likely than lenses with smaller optics to induce malignant glaucoma in such eyes.
Reed
J E
JE
Department of Ophthalmology, University of Pittsburgh School of Medicine, Pa.
Thomas
J V
JV
Lytle
R A
RA
Simmons
R J
RJ
D000368:Aged; D000867:Anterior Chamber / Q000473:pathology; D002924:Ciliary Body / Q000473:pathology; D005260:Female; D005901:Glaucoma / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007498:Iris / Q000601:surgery; D007910:Lenses, Intraocular / Q000009:adverse effects*; D014792:Visual Acuity; D014821:Vitrectomy