Late-onset angle closure in pseudophakic eyes with posterior chamber intraocular lenses. Issue 12 (December 2020)

• Record Type: Journal Article
• Authors: Krawitz, Brian D.; Misra, Poonam; Bearelly, Srilaxmi; Al-Aswad, Lama A.
• Is Part Of: Journal of cataract and refractive surgery. Volume 46:Issue 12(2020)
• Page Start: e48
• Page End: e51
• Publication Date: 2020-12
• Subjects: 617.7
• DOI: 10.1097/j.jcrs.0000000000000442
• Languages: English
• ISSNs: 0886-3350

Abstract

Abstract : 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.