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Br J Ophthalmol 2006;90:797-798 doi:10.1136/bjo.2006.091918
  • Letter

Pupillary block glaucoma in phakic perfluoropropane gas filled eye

  1. S Al-Shahwan1,
  2. F Ghadhfan1,
  3. H Kalantan2,
  4. A A Al-Torbak2
  1. 1Glaucoma Division, Department of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
  2. 2Anterior Segment Division, Department of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
  1. Correspondence to: Abdullah Al-Torbak MD, FRCS, King Khaled Eye Specialist Hospital, PO Box 7191, Riyadh 11462, Saudi Arabia; atorbaq{at}health.net.sa
  • Accepted 5 February 2006

Gas is widely used in vitreoretinal surgery. It is a valuable tool to treat difficult retinal detachments and severe cases of proliferative vitreous retinopathy.1 Gas mediated pupillary block and iridocorneal apposition are known complications in aphakic eyes that underwent vitreoretinal surgery.2–4 We report a case of a phakic patient with an acute pupillary block glaucoma related to the migration of perfluoropropane (C3F8) into the anterior chamber. We are unaware of previous reports on this complication, and a Medline search found no literature on this topic.

Case report

A 46 year old man underwent a pars plana vitrectomy with 15% C3F8 (perfluoropropane) injection to his right eye for a macula on recurrent rhegmatogenous retinal detachment. There was no history of trauma. During discharge on the first …

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