| Autor: |
Michael V, McCaughey, Thomas, Mifflin, Carlton R, Fenzl, Jason, Goldsmith, Majid, Moshirfar |
| Rok vydání: |
2014 |
| Předmět: |
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| Zdroj: |
Open journal of ophthalmology. 4(4) |
| ISSN: |
2165-7408 |
| Popis: |
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. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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