87 results match your criteria: "Pupillary Block Aphakic"
The many faces of secondary angle closure glaucoma: A practical approach to unveil.
Indian J Ophthalmol
October 2024
Glaucoma Services, Aravind Eye Hospital, Poonamallee High Road, Noombal, Chennai, Tamil Nadu, India.
Article Synopsis
- Secondary angle closure glaucoma (SACG) differs from primary angle closure glaucoma, often presenting acutely and involving various ocular and systemic associations, which can complicate diagnosis and treatment.
- *Prompt diagnosis is crucial, and the video outlines different imaging techniques like optical coherence tomography and ultrasound biomicroscopy to identify the causes of SACG effectively.
- *The video highlights the various mechanisms behind SACG, including those with and without pupillary block, and offers insights on their treatment options.*
Isolated ectopia lentis with partial anterior dislocation and pupillary block: a case report.
BMC Ophthalmol
April 2024
Wilmer Eye Institute, Johns Hopkins University School Medicine, Baltimore, MD, USA.
Article Synopsis
- Ectopia lentis is the displacement of the eye's lens and can arise from trauma or certain health conditions; this case involves a healthy four-year-old boy with a unique instance of isolated ectopia lentis.
- The boy's lens dislocation was documented by his father using a smartphone, revealing significant vision problems and leading to surgical intervention after a sudden onset of eye pain.
- The case highlights how smartphone photography can aid in diagnosing and managing eye emergencies effectively.
A Comprehensive Investigation Into the Outcomes of Descemet's Stripping Endothelial Keratoplasty (DSEK) as a Treatment for Corneal Endothelial Disorders.
Cureus
September 2023
Department of Ophthalmology, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, IND.
Article Synopsis
- - Descemet's stripping endothelial keratoplasty (DSEK) has become the preferred surgical option for replacing damaged corneal endothelium, aiming to improve visual acuity and overall surgical outcomes.
- - The study involved 18 patients (ages 25 to 70) treated with DSEK over two years, assessing their vision before and at various points after surgery while comparing demographic data and surgical complications.
- - Results showed a significant increase in best-corrected visual acuity after six months (from 1.73 to 0.73 logMAR), with some complications like buttonholing occurring in 11% of cases, highlighting both effectiveness and challenges of the procedure.
Pupillary block glaucoma due to anterior migration of nonemulsified silicone oil in a phakic patient: A case report and review of literature.
Oman J Ophthalmol
February 2023
Department of Ophthalmology, Sultan Qaboos University Hospital, Muscat, Oman.
Article Synopsis
- - A 24-year-old male diabetic patient developed acute pupillary block glaucoma after undergoing vitrectomy with silicone oil for retinal detachment, leading to severe eye pain and high intraocular pressure (IOP).
- - Despite attempts with medications to reduce IOP, the condition persisted, necessitating surgical intervention to remove the silicone oil and wash the anterior chamber.
- - The case highlights that pupillary block glaucoma can occur not only in aphakic patients but also in phakic and pseudophakic patients, especially in complex cases.
The phenotypic spectrum of associated ectopia lentis: Additional cases, complications, and review of literature.
Mol Vis
October 2022
Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, Australia.
Purpose: associated ectopia lentis is a rare autosomal recessive condition that is primarily associated with crystalline lens displacement. However, the prevalence of other ocular and systemic manifestations of this condition is poorly understood. In this study, we summarize the ocular and systemic phenotypic spectrum of this condition.
View Article and Find Full Text PDFBilateral Sequential Spontaneous Anterior Dislocated Intraocular Lens in a Patient With Retinitis Pigmentosa.
Cureus
July 2022
Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Article Synopsis
- Retinitis pigmentosa increases the risk of intraocular lens (IOL) dislocation after cataract surgery, leading to complications in patients.
- A 64-year-old Chinese woman with retinitis pigmentosa experienced dislocation of her right eye's IOL in 2011, resulting in corneal issues that persisted despite surgical intervention.
- By 2019, her left eye also faced complications due to IOL dislocation, leading to surgical removal of the IOL in both eyes, ultimately leaving her with very limited vision and requiring ongoing eye care.
Aphakic Pupillary Block by an Intact Anterior Vitreous Membrane after Total Lens Extraction by Phacoemulsification.
Case Rep Ophthalmol
November 2021
Department of Ophthalmology, Shimane University Faculty of Medicine, Izumo, Japan.
Article Synopsis
- * Nine days after the surgery, she developed a pupillary block because of an anterior vitreous membrane, leading to another surgical procedure called anterior vitrectomy to alleviate this issue.
- * The patient's symptoms improved post-surgery, highlighting that while rare, pupil block complications can occur after total lens extraction, suggesting preventive measures like hyaloidotomy or iridectomy may be beneficial to avoid secondary issues.
Acute angle closure in an aphakic infant: Case report and review of the literature.
Am J Ophthalmol Case Rep
September 2019
Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel.
Article Synopsis
- Aphakic pupillary block glaucoma is a rare but serious complication that can arise after congenital cataract surgery, as illustrated by a case involving a one-year-old male who experienced acute angle closure in his aphakic eye.
- The infant presented with severe eye pain and elevated intraocular pressure following previous eye surgery that left him without a lens, leading to a diagnosis of aphakic pupillary block.
- Emergency treatment involved surgical intervention, which successfully resolved the issue and highlighted the need for careful monitoring and management of potential complications in children post-surgery.
Transfixion technique for the treatment of silicone oil pupillary block glaucoma refractory to Nd-YAG iridotomy.
Cir Cir
November 2019
Facultad de Medicina, Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México.
Article Synopsis
- Pupillary block due to silicon oil in patients who have undergone vitrectomy is typically treated with Nd-YAG laser iridotomy or surgical removal of the silicon oil.
- A specific case is presented where a 30 G needle technique was successfully used to treat pupillary block glaucoma after an initial unsuccessful Nd-YAG procedure.
- This method is suggested as a cost-effective and straightforward alternative for managing silicone oil pupillary block in patients without a lens (aphakic patients).
Advanced glaucoma following Nd:YAG capsulotomy: a case report.
BMC Ophthalmol
September 2018
Princess Alexandra Eye Pavilion, Edinburgh, Scotland.
Article Synopsis
- A young patient developed glaucoma due to an aphakic pupil block after undergoing Nd:YAG capsulotomy, which led to vitreous prolapse into the anterior chamber.
- Managing her advanced glaucoma was a complex clinical challenge for healthcare providers.
- Although her intraocular pressure and uveitis are currently under control, the long-term prognosis of her complicated eye condition is still unclear.
Pigment dispersion syndrome and pigmentary glaucoma after secondary sulcus transscleral fixation of single-piece foldable posterior chamber intraocular lenses in Chinese aphakic patients.
J Cataract Refract Surg
May 2017
From the Department of Ophthalmology, Qingdao Municipal Hospital, Qingdao, China.
Article Synopsis
- This study aimed to analyze the occurrence of secondary pigment dispersion syndrome (PDS) and pigmentary glaucoma following sulcus transscleral fixation of a specific type of intraocular lens (IOL) in aphakic patients in China.
- A retrospective review of 23 eyes from 21 patients revealed that 17 eyes experienced PDS and 7 had pigmentary glaucoma, with notable postoperative complications including high pigment deposits and instances of reverse pupillary block.
- The findings concluded that the specific IOL used was unsuitable for this surgical technique due to the significant risk of developing PDS and pigmentary glaucoma in the studied population.
Diagnosis of pupillary block glaucoma after removal of congenital cataracts with intraoperative ultrasound biomicroscopy: a case report.
BMC Ophthalmol
May 2016
Department of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan University, 83 Fenyang Road, Shanghai, 200031, China.
Background: Aphakic glaucoma is a common complication after congenital cataract extraction, especially in those who have surgery during infancy. This case report describes a case of bilateral pupillary block glaucoma diagnosed with intraoperative ultrasound biomicroscopy (UBM) after removal of congenital cataract.
Case Presentation: We present a case report of a 9-month-old infant with bilateral corneal enlargement and ocular hypertension after uneventful removal of congenital cataracts.
Outcomes after lensectomy for children with Marfan syndrome.
J AAPOS
June 2016
Department of Ophthalmology, Children's University Hospital Temple Street, Dublin, Ireland. Electronic address:
Article Synopsis
- The study aimed to assess the long-term effects of lensectomy and subsequent Artisan lens implantation in children with Marfan syndrome and ectopia lentis, focusing on retinal detachment, complications, and visual outcomes.
- Researchers analyzed the medical records of 15 patients who underwent lensectomy at a Dublin hospital over a 20-year period, finding no cases of retinal detachment and an average follow-up of about 14 years.
- Although there was a moderate loss of endothelial cells (approximately 15.4%), the visual acuity outcomes remained stable post-surgery, indicating that the procedures were generally safe for these patients.
Surgical Management in a Patient With Complex Uveitic Glaucoma: A Case Report.
Medicine (Baltimore)
August 2015
From the Department of Ophthalmology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Uveitic glaucoma (UG) is secondary glaucoma, present as a clinical challenge in both diagnosis and management.We report a case of complex UG, which initially presented as pupillary block and rupture of the anterior lens capsule. We performed cataract extraction with preservation of posterior capsule.
View Article and Find Full Text PDFEvaluation of Artisan aphakic intraocular lens in cases of pediatric aphakia with insufficient capsular support.
J AAPOS
June 2015
Ophthalmology Department, Faculty of Medicine, Cairo University & Research Institute of Ophthalmology, Cairo, Egypt.
Purpose: To evaluate the visual outcomes and complications after Artisan iris-claw lens implantation in aphakic children with insufficient capsular support.
Methods: In this prospective, interventional noncontrolled study, aphakic eyes of consecutive patients >2 years of age with insufficient capsular support who underwent Artisan intraocular lens (IOL) implantation between June 2011 and December 2012 were followed for 1 year. Patients with anterior chamber depth <3 mm, central endothelial cell density (CECD) <2500 cells/mm(²), uncontrolled glaucoma, or uveitis were excluded.
Posterior iris-claw aphakic intraocular lens implantation and Descemet membrane endothelial keratoplasty.
Br J Ophthalmol
September 2014
Department of Ophthalmology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Purpose: To evaluate clinical outcomes and complications after Descemet membrane endothelial keratoplasty (DMEK) and posterior iris-claw aphakic intraocular lens (IOL) implantation.
Methods: This prospective cohort study comprised seven consecutive eyes (seven patients) without adequate capsular support and bullous keratopathy undergoing posterior iris-claw aphakic IOL implantation and DMEK. Corneal transparency, central corneal thickness, endothelial cell density, visual outcomes and complication rates were measured during the follow-up.
Sutureless clear corneal DSAEK with a modified approach for preventing pupillary block and graft dislocation: case series with retrospective comparative analysis.
Int Ophthalmol
April 2015
Cornea, Cataract and Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029, India,
The purpose of this study was to describe a modified technique of sutureless DSAEK with continuous pressurized internal air tamponade. This was a prospective interventional case series, single-center, institutional study. Twenty-seven patients with corneal decompensation without scarring were included.
View Article and Find Full Text PDFSecondary iris-claw anterior chamber lens implantation in patients with aphakia without capsular support.
Br J Ophthalmol
May 2014
Department of Cornea and Refractive Surgery, Instituto Microcirugia Ocular, , Barcelona, Spain.
Background/aims: To evaluate the efficacy, predictability, safety and complications of secondary iris-claw intraocular lens (IOL) implantation in aphakic eyes without capsular support.
Methods: Retrospective, non-comparative, interventional case series of 128 aphakic eyes, which consecutively underwent secondary iris-claw Artisan IOL (Ophtec BV) implantation, were included. Manifest refraction, uncorrected visual acuity, best-spectacle corrected visual acuity, biomicroscopy, tonometry, funduscopy and central endothelial cell count (cECC) were evaluated before surgery, and at yearly intervals up to 5 years.
Silicone oil pupillary block after laser retinopexy in aphakic eyes with presumed closed peripheral iridectomy: report of three cases.
Int Ophthalmol
August 2014
Department of Ophthalmology, Farabi Eye Hospital, Tehran University of Medical Sciences, Qazvin Square, 1336616351, Tehran, Iran,
Closure of the peripheral iridectomy (PI) may lead to forward displacement of silicone oil (SO) in some but not all SO-filled aphakic eyes. In this study, we report three patients with a history of a combined three-port pars plana vitrectomy and cataract surgery, SO injection and inferior PI who underwent laser retinopexy a few months postoperatively. The postoperative courses of these patients were unremarkable except for the closure of the PI without anterior displacement of SO; however, a few hours after laser therapy the SO was displaced to the anterior chamber, leading to acute glaucoma in one of the cases.
View Article and Find Full Text PDFPosterior iris-claw aphakic intraocular lens implantation in children.
Am J Ophthalmol
August 2013
Department of Ophthalmology, Charité, University Medicine Berlin, Berlin, Germany.
Purpose: To evaluate the indications, visual outcomes, and complication rate after posterior implantation of an iris-claw aphakic intraocular lens (IOL) in children.
Design: Noncomparative retrospective cohort study.
Methods: setting: Institutional practice.
Descemet's stripping automated endothelial keratoplasty in abnormal anterior segment: scleral indentation technique to enhance donor adherence.
Graefes Arch Clin Exp Ophthalmol
June 2013
Department of Ophthalmology, China Medical University Hospital, No. 2, Yuh Der Road, Taichung, Taiwan.
Background: To describe a scleral indentation technique to enhance donor adherence in Descemet's stripping and automated endothelial keratoplasty (DSAEK) in patients with abnormal anterior segment.
Methods: In patients with visual potential, we performed transscleral fixation of a foldable intraocular lens (IOL) and DSAEK. In patients only for pain relief, we performed DSAEK without IOL implantation.
Pupillary Block Glaucoma After Pars Plana Vitrectomy with Air-Fluid Exchange in Pseudophakic Air-Filled Eye.
Ophthalmic Surg Lasers Imaging
March 2010
Pupillary block is seen after pars plana vitrectomy (PPV) with gas or silicone oil endotamponade in aphakic eyes. A case of a pseudophakic patient with pupillary block glaucoma related to the migration of air into the anterior chamber was reported. A 76-year-old woman underwent combined PPV with air endotamponade and uncomplicated cataract extraction for epiretinal membrane and cataract.
View Article and Find Full Text PDFSecondary angle closure caused by air migrating behind the pupil in descemet stripping endothelial keratoplasty.
Cornea
July 2009
From the Cornea, Cataract, and External Disease Service, The Wilmer Eye Institute, The Johns Hopkins Hospital, Baltimore, MD 21287, USA.
Purpose: To report secondary angle closure caused by air migrating behind the pupil in the context of intraocular pressure (IOP) elevation in the early postoperative period after Descemet stripping endothelial keratoplasty (DSEK).
Methods: A retrospective case series was conducted on 100 consecutive DSEK cases from 90 patients undergoing DSEK because of corneal disease from Fuchs corneal dystrophy, pseudophakic bullous keratopathy, aphakic bullous keratopathy, and iridocorneal endothelial syndrome. Preoperative and postoperative slit-lamp examinations and IOP measurements were ascertained for all 100 eyes.
Complex deep lamellar endothelial keratoplasty for complex bullous keratopathy with severe vision loss.
Cornea
February 2009
From the State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Purpose: To determine the efficacy and postoperative complications of complex deep lamellar endothelial keratoplasty (DLEK) when used for the management of complex bullous keratopathy with severe vision loss.
Methods: Twelve consecutive eyes with severe bullous keratopathy and other associated intraocular abnormalities underwent complex DLEK which was combined with other intraocular surgeries such as vitrectomy, intraocular lens removal, and secondary intraocular lens implantation. An air bubble was used in 9 eyes and an air and C3F8 gas bubble in 3 eyes for tissue support.