Acute haptic-induced pigmentary glaucoma with an AcrySof intraocular lens.
A 49-year-old man had uneventful endocapsular phacoemulsification with in-the-bag implantation of an AcrySof SA60AT single-piece intraocular lens (IOL) (Alcon) in the right eye. Twenty-seven days postoperatively, he presented with ocular pain, intraocular pressure of 48 mm Hg, 360 degrees of hyperpigmentation of the trabecular meshwork, and iris pigment epithelial atrophy in the region of the upper temporal haptic, which had dislocated into the sulcus. The patient made an excellent recovery following IOL removal and exchange. Scanning electron microscopy of the explanted IOL demonstrated that the haptic had a rough lateral surface and anterolateral edge. We do not think this IOL should be implanted in the sulcus placement of the heptics. In this article, we report the case of a patient with an AcrySof SA60ATIOL (Alcon) who developed acute pigmentary glaucoma when the inferior haptic slipped out of the bag and came into contact with the pigmented iris and ciliary body.
Micheli
Tasha
T
Ophthalmic Surgery Centre, University of New South Wales, Sydney, Australia.
Cheung
Leanne M
LM
Sharma
Shanel
S
Assaad
Nagi N
NN
Guzowski
Magdalena
M
Francis
Ian C
IC
Norman
Jenny
J
Coroneo
Minas T
MT
D000180:Acrylic Resins / Q000009:adverse effects*; D001284:Atrophy; D020878:Device Removal; D005902:Glaucoma, Open-Angle / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D017495:Hyperpigmentation / Q000175:diagnosis / Q000209:etiology*; D007429:Intraocular Pressure; D007498:Iris / Q000473:pathology; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D010857:Pigment Epithelium of Eye / Q000473:pathology; D012086:Reoperation; D014129:Trabecular Meshwork / Q000473:pathology
D000180:Acrylic Resins