Ultrasound biomicroscopy in pupillary block glaucoma secondary to ophthalmic viscosurgical device remnants in the posterior chamber after anterior chamber phakic intraocular lens implantation.
A 25-year-old woman developed pupillary block glaucoma in the right eye after implantation of an angle-supported phakic intraocular lens despite a preexisting moderate-sized iridectomy. Ultrasound biomicroscopy (UBM) showed ophthalmic viscosurgical device retention in the posterior chamber and a full-thickness, patent-appearing iridectomy at 12 o'clock. The intraocular pressure gradually decreased to normal after a neodymium:YAG laser iridotomy was performed midperipherally at 9 o'clock. To our knowledge, this is the first report of UBM findings of this complication.
Eye Center, Affiliated Second Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Chuan-Bin
CB
Sun
Zhe
Z
Liu
Ke
K
Yao
D000328:Adult; D000867:Anterior Chamber / Q000601:surgery*; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D006820:Hyaluronic Acid / Q000009:adverse effects*; D007429:Intraocular Pressure; D032801:Iridectomy; D053844:Lasers, Solid-State / Q000627:therapeutic use; D019654:Lens Implantation, Intraocular; D033401:Microscopy, Acoustic; D054120:Phakic Intraocular Lenses; D057972:Posterior Eye Segment / Q000000981:diagnostic imaging / Q000187:drug effects; D011681:Pupil Disorders / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D014065:Tonometry, Ocular
D006820:Hyaluronic Acid