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Pseudophacomorphic Glaucoma Along with Pupillary Block after VisianTM Implantable Collamer Lens Implantation for High Myopia

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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.
Cite this paper
McCaughey, M. , Mifflin, T. , Fenzl, C. and Goldsmith, J. (2014) Pseudophacomorphic Glaucoma Along with Pupillary Block after VisianTM Implantable Collamer Lens Implantation for High Myopia. Open Journal of Ophthalmology, 4, 107-111. doi: 10.4236/ojoph.2014.44017. 
 

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