Pseudophakic pupillary block caused by pupillary capture after phacoemulsification and in-the-bag AcrySof lens implantation.
We describe a 50-year-old patient who developed pupillary block caused by pupillary capture 1 week after uneventful phacoemulsification and implantation of an AcrySof foldable intraocular lens (IOL). The patient had a large but intact capsulorhexis with the haptics lying in the bag; the optic lay in the pupillary area anterior to the capsulorhexis. This case was successfully managed by a neodymium: YAG laser iridotomy, IOL explantation, and subsequent implantation of a poly(methyl methacrylate) posterior chamber IOL. To prevent this complication, we suggest the optic be larger than the capsulorhexis and advocate correct, gentle insertion of the foldable IOL.
Khokhar
Sudarshan
S
Cornea and Lens Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Sethi
Harinder Singh
HS
Sony
Parul
P
Sudan
Rajeev
R
Soni
Ambrish
A
D000180:Acrylic Resins; D019923:Capsulorhexis; D020878:Device Removal; D015812:Glaucoma, Angle-Closure / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000601:surgery; D007499:Iris Diseases / Q000209:etiology* / Q000601:surgery; D053685:Laser Therapy; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D019904:Polymethyl Methacrylate; D019591:Pseudophakia / Q000209:etiology*; D012086:Reoperation
D000180:Acrylic Resins; D019904:Polymethyl Methacrylate