Pupillary block glaucoma due to residual perfluoro-decalin.
Perfluorocarbon liquids are used in vitreoretinal surgery and should be removed by the end of surgery. Removal is not always achieved and a few cases of complications resulting from perfluorocarbon liquid residues have been reported. The authors report a unique case of pupillary block glaucoma resulting from perfluoro-decalin residue in the anterior chamber that blocked a surgical coloboma of the iris at the 6-o'clock position. The perfluoro-decalin residue dissolved spontaneously with antiglaucoma treatment and no surgical intervention was needed. When perfluorocarbon liquids are used during pars plana vitrectomy, the possibility of silicone-induced pupillary block in the presence of an inferior iris coloboma should not be overlooked.
Alster
Y
Y
Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv, Israel.
Ben-Nun
Y
Y
Loewenstein
A
A
Lazar
M
M
D000208:Acute Disease; D000867:Anterior Chamber / Q000473:pathology; D005466:Fluorocarbons / Q000009:adverse effects*; D015812:Glaucoma, Angle-Closure / Q000139:chemically induced* / Q000473:pathology; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery; D014821:Vitrectomy; D018630:Vitreoretinopathy, Proliferative / Q000150:complications / Q000601:surgery
D005466:Fluorocarbons; C008805:perfluorodecalin