title: Anterior segment imaging in the management of postoperative fibrin pupillary-block glaucoma.
abstract: Postoperative fibrin pupillary-block glaucoma, an uncommon complication of intraocular surgery, develops when an inflammatory fibrin membrane occludes the pupil, resulting in peripheral angle closure. We present a series of 4 patients with this condition and describe the role of anterior segment optical coherence tomography and ultrasound biomicroscopy in distinguishing fibrin pupillary-block glaucoma from other forms of postoperative acute glaucoma. Specific to this condition is the presence of a fibrin membrane across the pupil and accumulation of aqueous in the posterior chamber, as would be expected in pupil block, but with a clear separation between the intraocular lens and the iris. The possible risk factors are discussed and various treatment modalities reviewed.
authors: Singapore National Eye Centre, Singapore, Republic of Singapore.
authors: Wei-Boon
authors: WB
authors: Khor
authors: Shamira
authors: S
authors: Perera
authors: Aliza
authors: A
authors: Jap
authors: Ching-Lin
authors: CL
authors: Ho
authors: Sek-Tien
authors: ST
authors: Hoh
mesh_terms: D000368:Aged; D000869:Anterior Eye Segment / Q000000981:diagnostic imaging* / Q000473:pathology*; D005260:Female; D005337:Fibrin; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D032801:Iridectomy; D007498:Iris / Q000601:surgery; D053844:Lasers, Solid-State; D019654:Lens Implantation, Intraocular; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D011681:Pupil Disorders / Q000175:diagnosis* / Q000601:surgery; D041623:Tomography, Optical Coherence
chemical_list: D005337:Fibrin