Pseudophacomorphic Glaucoma along with Pupillary Block after Visian™ Implantable Collamer Lens Implantation for High Myopia

Pseudophacomorphic Glaucoma along with Pupillary Block after Visian™ Implantable Collamer Lens Implantation for High Myopia

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. A 44 year-old female with high myopia underwent bilateral ICL implantation of MICL12.6 after sulcus d...

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Veröffentlicht in:Open journal of ophthalmology 2014-11, Vol.4 (4), p.107-111
Hauptverfasser: McCaughey, Michael V, Mifflin, Thomas, Fenzl, Carlton R, Goldsmith, Jason, Moshirfar, Majid
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container_issue 4
container_start_page 107
container_title Open journal of ophthalmology
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creator McCaughey, Michael V
Mifflin, Thomas
Fenzl, Carlton R
Goldsmith, Jason
Moshirfar, Majid
description 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. A 44 year-old female with high myopia underwent bilateral ICL implantation of MICL12.6 after sulcus diameter measurements were performed by Pentacam. 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. 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.
doi_str_mv 10.4236/ojoph.2014.44017
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title Pseudophacomorphic Glaucoma along with Pupillary Block after Visian™ Implantable Collamer Lens Implantation for High Myopia
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