title: Pupillary block due to reverse implantation of a sulcus intraocular lens.
abstract: An 88-year-old woman with a history of complicated cataract extraction by phacoemulsification with sulcus intraocular lens (IOL) placement developed pseudophakic pupillary block after reverse implantation of the IOL. In the postoperative period, she had persistently elevated intraocular pressures (IOP) and was diagnosed with chronic angle-closure glaucoma that was treated medically. She presented 5 years later with acute pupillary block. The diagnosis of reverse IOL implantation was confirmed by ultrasound biomicroscopy. An IOL repositioning, anterior synechialysis, and Baerveldt tube shunt placement led to resolution of the pupillary block and a well-controlled IOP.
authors.affiliation: University of Maryland School of Medicine (Zhang) and the Department of Ophthalmology and Visual Sciences (Soni, Alexander, Kalarn, Saeedi), University of Maryland School of Medicine, Baltimore, Maryland, USA.
authors.forename: Xuemin
authors.initials: X
authors.lastname: Zhang
authors.affiliation: University of Maryland School of Medicine (Zhang) and the Department of Ophthalmology and Visual Sciences (Soni, Alexander, Kalarn, Saeedi), University of Maryland School of Medicine, Baltimore, Maryland, USA.
authors.forename: Nishant
authors.initials: N
authors.lastname: Soni
authors.affiliation: University of Maryland School of Medicine (Zhang) and the Department of Ophthalmology and Visual Sciences (Soni, Alexander, Kalarn, Saeedi), University of Maryland School of Medicine, Baltimore, Maryland, USA.
authors.forename: Janet
authors.initials: J
authors.lastname: Alexander
authors.affiliation: University of Maryland School of Medicine (Zhang) and the Department of Ophthalmology and Visual Sciences (Soni, Alexander, Kalarn, Saeedi), University of Maryland School of Medicine, Baltimore, Maryland, USA.
authors.forename: Sachin
authors.initials: S
authors.lastname: Kalarn
authors.affiliation: University of Maryland School of Medicine (Zhang) and the Department of Ophthalmology and Visual Sciences (Soni, Alexander, Kalarn, Saeedi), University of Maryland School of Medicine, Baltimore, Maryland, USA.
authors.forename: Osamah
authors.initials: O
authors.lastname: Saeedi