Pupillary block after pupillary capture of an AcrySof intraocular lens

J Cataract Refract Surg. 1998 Sep;24(9):1271-4. doi: 10.1016/s0886-3350(98)80026-6.

Abstract

A 54-year-old man developed pupillary block resulting from pupillary capture 2 months after uneventful phacomulsification and AcrySof intraocular lens (IOL) implantation. The IOL was placed in the bag through a 6.0 mm continuous curvilinear capsulorhexis. The glaucoma was treated with intravenous drip infusion of a hyperosmotic diuretic, followed by peripheral iridectomy, iridocapsular synechiolysis, and IOL repositioning. The IOL loops were located completely in the bag. However, pupillary capture recurred 3 weeks after the surgery, at which time intraocular pressure was normal. The flexibility of the IOL optic and its large overall length and rigid, low-angulated loops were the probable causes for the recurrence of the pupillary capture. The IOL was exchanged for a sulcus-fixated, single-piece poly(methylmethacrylate) lens with 10 degree angulated loops. Pupillary capture did not recur during the follow-up.

Publication types

  • Case Reports

MeSH terms

  • Acrylic Resins*
  • Capsulorhexis
  • Diuretics / administration & dosage
  • Glaucoma, Angle-Closure / drug therapy
  • Glaucoma, Angle-Closure / etiology*
  • Glaucoma, Angle-Closure / surgery
  • Humans
  • Intraocular Pressure
  • Iris / surgery
  • Iris Diseases / drug therapy
  • Iris Diseases / etiology*
  • Iris Diseases / surgery
  • Lens Implantation, Intraocular
  • Lenses, Intraocular / adverse effects*
  • Male
  • Middle Aged
  • Phacoemulsification*
  • Recurrence

Substances

  • Acrylic Resins
  • Diuretics