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Abstract #24076 Published in IGR 11-3
Anterior segment imaging in the management of postoperative fibrin pupillary-block glaucoma
Khor WB; Perera S; Jap A; Ho CL; Hoh STJournal of Cataract and Refractive Surgery 2009; 35: 1307-1312
Postoperative fibrin pupillary-block glaucoma, an uncommon complication of intraocular surgery, develops when an inflammatory fibrin membrane occludes the pupil, resulting in peripheral angle closure. We present a series of 4 patients with this condition and describe the role of anterior segment optical coherence tomography and ultrasound biomicroscopy in distinguishing fibrin pupillary-block glaucoma from other forms of postoperative acute glaucoma. Specific to this condition is the presence of a fibrin membrane across the pupil and accumulation of aqueous in the posterior chamber, as would be expected in pupil block, but with a clear separation between the intraocular lens and the iris. The possible risk factors are discussed and various treatment modalities reviewed.
Dr. W.B. Khor, Singapore National Eye Centre, Singapore, Republic of Singapore
Classification:
9.4.11.3 Epithelial, fibrous, and endothelial proliferation (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)