TY - JOUR T1 - Pupillary block following posterior chamber intraocular lens implantation in adults JF - British Journal of Ophthalmology JO - Br J Ophthalmol SP - 1109 LP - 1111 DO - 10.1136/bjo.87.9.1109 VL - 87 IS - 9 AU - D D Gaton AU - K Mimouni AU - M Lusky AU - R Ehrlich AU - D Weinberger Y1 - 2003/09/01 UR - http://bjo.bmj.com/content/87/9/1109.abstract N2 - Background: Pupillary block rarely occurs after cataract extraction with posterior chamber intraocular lens implantation. Methods: A series of six patients (seven eyes) treated for pupillary block after posterior chamber intraocular lens implantation between 1990 and 2001 is described; in one eye, the attack occurred after phacoemulsification. Results: The interval between pupillary block development and the cataract surgery ranged from 1 day to 5 years. In all eyes, treatment consisted of neodymium-YAG laser peripheral iridotomy. In four eyes, the laser peripheral iridotomy relieved the block (one procedure in two; two to three procedures in two). One patient was also treated with YAG capsulotomy, and two patients needed additional surgical intervention. Conclusion: Despite the rarity of the complication of pupillary block after posterior chamber intraocular lens implantation, physicians should be aware of the sometimes difficult course of recovery after treatment. ER -