Elevated intraocular pressure in secondary piggyback intraocular lens implantation.

Abstract:

:We report 2 cases of postoperative intraocular pressure (IOP) elevation in secondary piggyback intraocular lens (IOL) implantation without history of glaucoma or ocular hypertension. A 74-year-old woman with myopic pseudophakia and a 68-year-old man with hyperopic pseudophakia received secondary piggyback AcrySof IOL implantation in their left eyes. In both patients, the left IOP gradually increased and sustained around 30 mm Hg for about 1 year. In the first, IOP continued elevating despite topical and systemic medications. There was an episode of pupillary block in the second. Gonioscopically, heavier trabecular meshwork pigmentation in their left eyes was observed. Because of this, the 2 IOLs implanted were removed and replaced by an adequate IOL and trabeculotomy was performed in the former. The AcrySof IOL has a truncated optic edge, which increases the risk for chafing the iris, resulting in pigment dispersion syndrome; thus, it would be a poor choice for a sulcus-placed piggyback implantation.

authors

Iwase T,Tanaka N

doi

10.1016/j.jcrs.2005.06.034

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

1821-3

issue

9

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(05)00522-5

journal_volume

31

pub_type

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