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Letter
Evaluation of a pseudophakic pupillary block with an anterior segment OCT
  1. E Mendrinos,
  2. S Dreifuss,
  3. A Dosso,
  4. T Shaarawy
  1. Department of Ophthalmology, Geneva University Hospitals, Geneva, Switzerland
  1. E Mendrinos, Department of Ophthalmology, 22 rue Alcide Jentzer, 1211 Geneva 14, Switzerland; efstratios.mendrinos{at}hcuge.ch

https://doi.org/10.1136/bjo.2007.125385

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    Pupillary block has been recognised as a complication of cataract surgery and has been reported after the implantation of all major types of IOLs.1 2 We report the case of a 60-year-old woman who developed a pseudophakic pupillary block, 1 day after implantation of an anterior chamber-intraocular lens (AC-IOL) (Artisan; OPHTEC, Groningen, The Netherlands) in the right eye, illustrated with an anterior segment-optical coherence tomographer (AS-OCT) (OCT Visante, Carl Zeiss Meditec, Dublin, CA, USA). The intraocular pressure (IOP) was 54 mmHg and decreased to 18 mmHg following Nd:YAG iridotomy. Pupillary block may occur after AC-IOL implantation and iridectomy should be performed during surgery in order to avoid such complication. Anterior segment OCT is a valuable …

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    Footnotes

    • Competing interests: None declared.