Pupillary block after phakic anterior chamber intraocular lens implantation.
A 49-year-old patient developed pupillary block glaucoma with an intraocular pressure (IOP) of 29 mm hg after implantation of a phakic intraocular lens (IOL) (NuVita, Bausch & Lomb) in the left eye. the anterior chamber deepened again, and the iop decreased to 16 mm hg after a neodymium: YAG iridotomy. Pupillary block glaucoma may occur after phakic IOL implantation without iridotomy, and we advocate that routine iridotomy be performed during phakic IOL surgeries.
Ardjomand
Navid
N
Department of Ophthalmology, Karl Franzens University School of Medicine, Graz, Austria. navid.ardjomand@kfunigraz.ac.at
Kölli
Heimo
H
Vidic
Bertram
B
El-Shabrawi
Yosuf
Y
Faulborn
Jürgen
J
D000867:Anterior Chamber / Q000601:surgery*; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000601:surgery; D053685:Laser Therapy; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007908:Lens, Crystalline / Q000502:physiology*; D008875:Middle Aged