title: Secondary pigmentary glaucoma associated with 1-piece foldable intraocular lens in the ciliary sulcus.
abstract: We report the case of an 83-year-old man who had had cataract surgery in both eyes and was being treated with timolol and dorzolamide in the right eye. Goldmann tonometry was 28 mm Hg in the right eye and 14 mm Hg in the left eye. Biomicroscopy of the right eye revealed pigment dispersion on the corneal endothelium, trabecular meshwork, and intraocular lens (IOL), as well as iris transillumination defects. After pupil dilation, a ciliary sulcus-implanted 1-piece IOL and a ruptured posterior capsule could be seen. Optical coherence tomography showed a diminished nerve fiber layer. Exchange for a 3-piece IOL was performed, but the intraocular pressure (IOP) remained high. For that reason, a trabeculectomy was performed. The final IOP was 12 mm Hg, and the visual fields were stable. This case highlights the importance of IOL choice for sulcus implantation.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal. Electronic address: mario.r.ramalho@gmail.com.
authors.forename: Mario
authors.initials: M
authors.lastname: Ramalho
authors.affiliation: From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal.
authors.forename: Fernando T
authors.initials: FT
authors.lastname: Vaz
authors.affiliation: From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal.
authors.forename: Catarina
authors.initials: C
authors.lastname: Pedrosa
authors.affiliation: From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal.
authors.forename: Mafalda
authors.initials: M
authors.lastname: Mota
authors.affiliation: From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal.
authors.forename: Diana
authors.initials: D
authors.lastname: Silva
authors.affiliation: From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal.
authors.forename: Maria
authors.initials: M
authors.lastname: Lisboa
authors.affiliation: From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal.
authors.forename: Isabel
authors.initials: I
authors.lastname: Prieto
mesh_terms: D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002924:Ciliary Body / Q000601:surgery*; D005902:Glaucoma, Open-Angle / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D018918:Phacoemulsification; D011474:Prosthesis Design; D013449:Sulfonamides / Q000627:therapeutic use; D013876:Thiophenes / Q000627:therapeutic use; D013999:Timolol / Q000627:therapeutic use; D041623:Tomography, Optical Coherence; D014065:Tonometry, Ocular; D014792:Visual Acuity / Q000502:physiology
chemical_list: D000959:Antihypertensive Agents; D013449:Sulfonamides; D013876:Thiophenes; D013999:Timolol; C062765:dorzolamide