Open AccessLate-onset angle closure in pseudophakic eyes with posterior chamber intraocular lenses
Author(s) -
Brian Krawitz,
Poonam Misra,
Srilaxmi Bearelly,
Lama A. Al-Aswad
Publication year - 2020
Publication title -
journal of cataract and refractive surgery/journal of cataract and refractive surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 142
eISSN - 1873-4502
pISSN - 0886-3350
DOI - 10.1097/j.jcrs.0000000000000442
Subject(s) - medicine , ophthalmology , intraocular pressure , pars plana , vitrectomy , glaucoma , angle closure glaucoma , pseudophakia , implant , intraocular lens , anterior chamber angle , visual acuity , surgery
Two patients presented with angle closure many years after cataract extraction. The first patient presented with acute intraocular pressure (IOP) elevation and closed iridocorneal angle that resolved with a laser iridotomy. The second patient presented with an insidious course of high IOP and progressive narrowing of the iridocorneal angle, ultimately requiring a pars plana vitrectomy and glaucoma valve implant, with subsequent normalization of pressure and angle anatomy. Although rare, angle closure in eyes with posterior chamber intraocular lenses is a dangerous complication that can occur many years after cataract extraction. Retained lens fragments, and perhaps repeated intravitreal injections, might place susceptible patients at risk.