advertisement
Abstract #26584 Published in IGR 12-3
Pigment dispersion with elevation of intraocular pressure after bilateral phacoemulsification with implantation of acrylic intra-Ocular lenses
Fernandez-Bahamonde JL; Roman-Rodriguez CFSeminars in Ophthalmology 2010; 25: 36-38
The purpose is to report a case and management of secondary Pigment Dispersion (PD) with severe elevation of the Intraocular Pressure (IOP) after bilateral uncomplicated phacoemulsification with implantation "within the capsular bag" of hydrophobic acrylic intra-ocular lenses (HAIOLs). The patient, a 68-year-old Hispanic male, developed severe anterior segment PD in both eyes after uncomplicated bilateral cataract surgery with implantation within-the-capsular-bag of HAIOLs one week apart. This PD was accompanied by severe elevation of the IOPs in both eyes. After filtering surgery in the worse affected eye, and medical therapy for both, the IOPs stabilized and the patient retained good distance and near uncorrected visual acuity (UCVA). HAIOLs implantation may lead to PD and IOP elevation, even when correctly placed within the capsular bag. A separation of at least two weeks between surgeries would have prevented the occurrence of this rare complication in both eyes at the same time.
J. L. Fernandez-Bahamonde. University of Puerto Rico, School of Medicine, PO Box 194507, San Juan, PR 00919-4507, Puerto Rico. jfernand326@gmail.com
Classification:
9.4.3.1 Pigmentary glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.3 Glaucomas associated with disorders of the iris and ciliary body)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
