Role of ultrasound biomicroscopy in managing pseudophakic pupillary block glaucoma.
We describe a case of anterior capsule adherence to the iris that occurred after phacoemulsification with in-the-bag intraocular lens (IOL) implantation. This adherence led to the development of pseudophakic pupillary block glaucoma. There were no synechias at the pupillary margin associated with the capsule-iris adherence. Ultrasound biomicroscopy, used to evaluate the anterior segment in vivo, clarified the mechanism of pseudophakic pupillary block. The pupillary block was relieved by a single laser iridotomy.
Sathish
S
S
Department of Ophthalmology, Aberdeen Royal Infirmary, Grampian University Hospitals, Aberdeen, Scotland, United Kingdom.
MacKinnon
J R
JR
Atta
H R
HR
D000368:Aged; D000869:Anterior Eye Segment / Q000000981:diagnostic imaging*; D005260:Female; D018463:Filtering Surgery / Q000379:methods; D015812:Glaucoma, Angle-Closure / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D007498:Iris / Q000000981:diagnostic imaging* / Q000601:surgery; D053685:Laser Therapy; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D018918:Phacoemulsification / Q000009:adverse effects*; D019591:Pseudophakia / Q000150:complications* / Q000000981:diagnostic imaging; D011680:Pupil / Q000502:physiology; D012086:Reoperation; D014463:Ultrasonography