title: Pseudophacomorphic Glaucoma along with Pupillary Block after Visian™ Implantable Collamer Lens Implantation for High Myopia.
abstract: OBJECTIVE
  To report a case of bilateral glaucoma related to pseudophacomorphic mechanism in one eye and pupillary block in the other eye after Visian Implantable Collamer Lens (ICL, STAAR Surgical) insertion.
  
  
  METHODS
  A 44 year-old female with high myopia underwent bilateral ICL implantation of MICL12.6 after sulcus diameter measurements were performed by Pentacam.
  
  
  RESULTS
  Pseudophacomorphic glaucoma-related angle closure occurred due to lens oversizing in the right eye. The mechanism was relieved via ICL explantation. In the left eye, pupillary block developed in a subacute manner after closure of the peripheral iridotomy (PI). The attack was ameliorated by reestablishing patency of the iridotomy.
  
  
  CONCLUSIONS
  ICL-related glaucomatous attacks may result from improper sizing as well as from placement of a single PI. Identification of the proper mechanism is vital as treatments differ significantly. In pseudophacomorphic glaucoma, explantation is needed. In pupillary block glaucoma, treatment involves establishment of a patent PI.
authors.affiliation: University of New Mexico School of Medicine, Albuquerque, USA.
authors.forename: Michael V
authors.initials: MV
authors.lastname: McCaughey
authors.affiliation: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Mifflin
authors.affiliation: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA.
authors.forename: Carlton R
authors.initials: CR
authors.lastname: Fenzl
authors.affiliation: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Goldsmith
authors.affiliation: Francis I. Proctor Foundation, University of California San Francisco, San Francisco, USA.
authors.forename: Majid
authors.initials: M
authors.lastname: Moshirfar
keywords: Glaucoma; Pseudophacomorphic; Pupillary Block; Visian ICL