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Abstract #21020 Published in IGR 10-2
Acute angle closure after implantable contact lens insertion unresponsive to surgical peripheral iridectomy
Chan KC; Birchall W; Gray TB; Wells APJournal of Cataract and Refractive Surgery 2008; 34: 696-699
We present a case of acute angle closure that occurred after insertion of an implantable contact lens (ICL). The apparent papillary-block angle closure did not resolve after 2 patent iridotomies and a surgical iridectomy, but did respond to pupil dilation (not constriction). Ultrasound biomicroscopy revealed abnormally large and irregular ciliary processes that may have contributed to the unusual behavior of the ICL-iris complex. The condition resolved after the ICL was replaced by one with a smaller haptic diameter. Routine ultrasound biomicroscopic assessment of the ciliary body anatomy preoperatively and ICL haptic positioning postoperatively may identify risk factors that could predispose ICL patients to acute angle closure.
Dr. K.C. Chan, Eye Department, Wellington School of Medicine, Wellington, New Zealand. Dr.kenneth.chan@gmail.com
Classification:
9.4.11.2 Glaucomas in aphakia and pseudophakia (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)
12.7 Surgical iridectomy (Part of: 12 Surgical treatment)
