Secondary pigmentary glaucoma associated with 1-piece foldable intraocular lens in the ciliary sulcus

Journal of Cataract and Refractive Surgery
Mario RamalhoIsabel Prieto

Abstract

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. No author has a financial or proprietary interest in any material or method mentioned.

References

Oct 22, 2002·Journal of Cataract and Refractive Surgery·Tasha MicheliMinas T Coroneo
Aug 18, 2005·Journal of Cataract and Refractive Surgery·Russell M LeBoyerJames J Augsberger
Oct 26, 2005·Journal of Cataract and Refractive Surgery·Takeshi Iwase, Nobushige Tanaka
Jul 28, 2009·Journal of Cataract and Refractive Surgery·David F ChangUNKNOWN ASCRS Cataract Clinical Committee
Dec 9, 2009·Journal of Cataract and Refractive Surgery·M Camille AlmondPhilip P Chen
Aug 10, 2010·Journal of Cataract and Refractive Surgery·Omar HadidScott Fraser

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