A 49-year-old patient developed pupillary block glaucoma with an intraocular pressure (IOP) of 29 mm Hg after implantation of a phakic intraocular lens (IOL) (NuVital((R)), Bausch & Lomb) in the left eye. The anterior chamber deepened again, and the IOP decreased to 16 mm Hg after a neodymium:YAG iridotomy. Pupillary block glaucoma may occur after phakic IOL implantation without iridotomy, and we advocate that routine iridotomy be performed during phakic IOL surgeries.
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Ophthalmol, Seoul 135710, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Ophthalmol, Seoul 135710, South Korea