6533b82efe1ef96bd12933f8

RESEARCH PRODUCT

Surgical management of acute angle-closure glaucoma after toric implantable contact lens implantation

Mana TehraniH. Burkhard DickJan M. Vetter

subject

Reoperationmedicine.medical_specialtyIntraocular pressuregenetic structuresContact LensesVisual AcuityPhakic intraocular lensPupilLens Implantation IntraocularOphthalmologyMyopiamedicineHumansIris (anatomy)Device RemovalIntraocular PressurePupillary blockbusiness.industryeye diseasesSensory SystemsSurgeryOphthalmologymedicine.anatomical_structureIris DiseasesAcute angle-closure glaucomaImplantable Contact LensLens (anatomy)Acute DiseaseSurgerysense organsGlaucoma Angle-Closurebusiness

description

A case of pupillary block after implantation of an implantable contact lens (ICL) is reported, and surgical management and prevention are discussed. In a myopic patient, the best corrected visual acuity in the right eye was 20/50 with -15.50 -3.00 x 175. After uneventful implantation of an ICL, painful acute glaucoma developed with an intraocular pressure beyond measurable values. Apparent anterior vaulting of the ICL suggested a sizing problem. In a situation of a mid-wide dilated pupil, immediate explantation of the ICL was performed. Then, using a preoperative iris photography as guidance, an anterior chamber iris-claw toric phakic intraocular lens was implanted. On postoperative examination, the anterior chamber was deep, the angle open, the natural lens clear, and uncorrected visual acuity was 20/40.

yearjournalcountryeditionlanguage
2006-06-01Journal of Cataract and Refractive Surgery
https://doi.org/10.1016/j.jcrs.2006.02.028