Pupillary block after pupillary capture of an AcrySof intraocular lens.
A 54-year-old man developed pupillary block resulting from pupillary capture 2 months after uneventful phacomulsification and AcrySof intraocular lens (IOL) implantation. The IOL was placed in the bag through a 6.0 mm continuous curvilinear capsulorhexis. The glaucoma was treated with intravenous drip infusion of a hyperosmotic diuretic, followed by peripheral iridectomy, iridocapsular synechiolysis, and IOL repositioning. The IOL loops were located completely in the bag. However, pupillary capture recurred 3 weeks after the surgery, at which time intraocular pressure was normal. The flexibility of the IOL optic and its large overall length and rigid, low-angulated loops were the probable causes for the recurrence of the pupillary capture. The IOL was exchanged for a sulcus-fixated, single-piece poly(methylmethacrylate) lens with 10 degree angulated loops. Pupillary capture did not recur during the follow-up.
Department of Ophthalmology, Toranomon Hospital, Tokyo, Japan.
S
S
Nagamoto
T
T
Kohzuka
T
T
Nagamoto
D000180:Acrylic Resins; D019923:Capsulorhexis; D004232:Diuretics / Q000008:administration & dosage; D015812:Glaucoma, Angle-Closure / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000601:surgery; D007499:Iris Diseases / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D012008:Recurrence
D000180:Acrylic Resins; D004232:Diuretics