Pseudophacomorphic Glaucoma Along with Pupillary Block after VisianTM Implantable Collamer Lens Implantation for High MyopiaReportar como inadecuado




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Purpose: 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 pseudo phacomorphic glaucoma, explantation is needed. In pupillary block glaucoma, treatment involves establishment of a patent PI.

KEYWORDS

Pseudophacomorphic, Glaucoma, Visian ICL, Pupillary Block

Cite this paper

McCaughey, M. , Mifflin, T. , Fenzl, C. , Goldsmith, J. and Moshirfar, M. 2014 Pseudophacomorphic Glaucoma Along with Pupillary Block after VisianTM Implantable Collamer Lens Implantation for High Myopia. Open Journal of Ophthalmology, 4, 107-111. doi: 10.4236-ojoph.2014.44017.





Autor: Michael V. McCaughey1, Thomas R. Mifflin2, Carlton R. Fenzl2, Jason A. Goldsmith2, Majid Moshirfar3*

Fuente: http://www.scirp.org/



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