title: Surgical Management of Iatrogenic Pigment Dispersion Glaucoma.
abstract: BACKGROUND
  Iatrogenic pigment dispersion syndrome generally originates from a repetitive, mechanical trauma to the pigmented posterior epithelium of the iris. This trauma can arise after intraocular surgery, most commonly due to an abnormal contact between the intraocular lens (IOL) and the iris. Whether surgical removal of this primary insult can lead to a successful intraocular pressure (IOP) control remains unclear.
  
  
  METHODS
  Case-series. Patients with IOP elevation and clinical signs of pigment dispersion were screened for a diagnosis of iatrogenic IOL-related pigment dispersion.
  
  
  RESULTS
  Three patients in which the IOL or the IOL-bag complex caused a pigment dispersion through a repetitive iris chafing were selected. In two cases, replacement of a sulcus-based single-piece IOL (patient 1) or a sub-luxated in-the-bag IOL (patient 2) by an anterior-chamber (AC) iris-fixed IOL led to a sustained decrease in IOP. In the third case, extensive iris atrophy and poor anatomical AC parameters for IOL implantation precluded further surgical intervention.
  
  
  CONCLUSIONS
  IOL-exchange appears to be a useful tool in the management of iatrogenic pigment dispersion glaucoma due to inappropriate IOL implantation. This cause-oriented approach seems to be effective in controlling IOP, but should be offered only if safety criteria are met. How to cite this article: Van Mierlo C, Abegao Pinto L, Stalmans I. Surgical Management of Iatrogenic Pigment Dispersion Glaucoma. J Curr Glaucoma Pract 2015;9(1):28-32.
authors.affiliation: Resident, Department of Ophthalmology, University Hospitals of Leuven Leuven, Belgium.
authors.forename: Camille Van
authors.initials: CV
authors.lastname: Mierlo
authors.affiliation: Assistant Professor, Department of Ophthalmology, Faculty of Medicine, Lisbon University, Lisbon, Portugal.
authors.forename: Luis Abegão
authors.initials: LA
authors.lastname: Pinto
authors.affiliation: Professor, Department of Ophthalmology, University Hospitals of Leuven Leuven, Belgium.
authors.forename: Ingeborg
authors.initials: I
authors.lastname: Stalmans
keywords: IOL-exchange.; Iris chafing; Pigment dispersion glaucoma