Aqueous misdirection syndrome: a complication of neodymium: YAG posterior capsulotomy.
A 50-year-old, white, pseudophakic man who had a neodymium:YAG (Nd:YAG) posterior capsulotomy for capsule opacification developed a persistent rise in intraocular pressure (IOP) associated with a flat anterior chamber. Full-thickness patent iridotomy performed with an Nd:YAG laser did not reduce IOP. A-scan ultrasonography showed aqueous pockets in the vitreous, leading to a diagnosis of malignant glaucoma. Medical therapy comprising atropine, phenylephrine, mannitol, and acetazolamide normalized IOP and resolved the clinical findings.
Mastropasqua
L
L
Institute of Ophthalmology, University of Chieti, Italy.
Ciancaglini
M
M
Carpineto
P
P
Lobefalo
L
L
Gallenga
P E
PE
D000867:Anterior Chamber / Q000000981:diagnostic imaging; D001082:Aqueous Humor; D015812:Glaucoma, Angle-Closure / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000601:surgery; D053685:Laser Therapy / Q000009:adverse effects*; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000209:etiology; D013577:Syndrome; D014463:Ultrasonography