Pseudophacomorphic Glaucoma Along with Pupillary Block after Visian<sup>TM</sup>Implantable Collamer Lens Implantation for High Myopia

• 作者: Carlton R. Fenzl Jason A. Goldsmith Majid Moshirfar Michael V. McCaughey Thomas R. Mifflin
• 来源期刊: 眼科学期刊(英文)
• 学科: 医学
• 关键词: Pseudophacomorphic GLAUCOMA Visian ICL Pupillary BLOCK
• 年，卷（期）: 2014,（4）
• 页码范围: 107-111
• 页数: 5页
• 分类号: R73

摘要

Purpose: 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. Methods: A 44-year-old female with high myopia underwent bilateral ICL implantation of MICL12.6 after sulcus diameter measurements were performed by Pentacam. Results: 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. Conclusions: 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 pseudo phacomorphic glaucoma, explantation is needed. In pupillary block glaucoma, treatment involves establishment of a patent PI.