title: Fractured Anterior Chamber Intraocular Lens (ACIOL) Complicating Nd: YAG Laser for Peripheral Iridotomy.
abstract: Laser peripheral iridotomy is the procedure of choice for the treatment of angle-closure glaucoma caused by relative or absolute pupillary block. Nd: YAG laser iridotomy has been reported to have several complications such as Iris bleeding, hyphema, transient IOP elevation, intraocular inflammation, choroidal, retinal detachment and vitreous hemorrhage. We report a case of a 74 year old lady on anticoagulant treatment who developed pupillary block and angle closure glaucoma after cataract surgery and anterior chamber intraocular lens (ACIOL) insertion complicated with intraoperative bleeding. The patient was treated with Nd: YAG laser iridotomy , however, the ACIOL was inadvertently fractured after a single shot of laser and it had to be replaced. Although the incidence is rare. Ophthalmologists and Opticians should be aware that an ACIOL may be fractured even after a single Nd:YAG laser shot and avoid to perform it close to the ACIOL. Pretreatment counseling should include this rare complication.
authors.affiliation: Department of Ophthalmology, "G. Gennimatas" Hospital of Athens, NHS, Greece.
authors.forename: Edgard
authors.initials: E
authors.lastname: Farah
authors.affiliation: Department of Ophthalmology, "G. Gennimatas" Hospital of Athens, University of Athens, Greece.
authors.forename: Chryssanthi
authors.initials: C
authors.lastname: Koutsandrea
authors.affiliation: Department of Ophthalmology, "G. Gennimatas" Hospital of Athens, NHS, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Papaefthimiou
authors.affiliation: Department of Ophthalmology, "G. Gennimatas" Hospital of Athens, University of Athens, Greece.
authors.forename: Dimitris
authors.initials: D
authors.lastname: Papaconstantinou
authors.affiliation: Department of Ophthalmology, "G. Gennimatas" Hospital of Athens, University of Athens, Greece.
authors.forename: Ilias
authors.initials: I
authors.lastname: Georgalas
keywords: Anterior Chamber Intraocular Lens; Complications.; Laser peripheral iridotomy; Nd; Yag Laser