Secondary pigmentary glaucoma associated with 1-piece foldable intraocular lens in the ciliary sulcus.
Autor: | Ramalho M; From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal. Electronic address: mario.r.ramalho@gmail.com., Vaz FT; From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal., Pedrosa C; From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal., Mota M; From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal., Silva D; From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal., Lisboa M; From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal., Prieto I; From the Ophthalmology Department, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal. |
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Jazyk: | angličtina |
Zdroj: | Journal of cataract and refractive surgery [J Cataract Refract Surg] 2015 Dec; Vol. 41 (12), pp. 2765-7. |
DOI: | 10.1016/j.jcrs.2015.11.014 |
Abstrakt: | Unlabelled: We report the case of an 83-year-old man who had had cataract surgery in both eyes and was being treated with timolol and dorzolamide in the right eye. Goldmann tonometry was 28 mm Hg in the right eye and 14 mm Hg in the left eye. Biomicroscopy of the right eye revealed pigment dispersion on the corneal endothelium, trabecular meshwork, and intraocular lens (IOL), as well as iris transillumination defects. After pupil dilation, a ciliary sulcus-implanted 1-piece IOL and a ruptured posterior capsule could be seen. Optical coherence tomography showed a diminished nerve fiber layer. Exchange for a 3-piece IOL was performed, but the intraocular pressure (IOP) remained high. For that reason, a trabeculectomy was performed. The final IOP was 12 mm Hg, and the visual fields were stable. This case highlights the importance of IOL choice for sulcus implantation. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned. (Copyright © 2015 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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