Pigmentary glaucoma secondary to in-the-bag intraocular lens implantation

• Published in: Journal of cataract and refractive surgery Vol. 34; no. 9; pp. 1595 - 1597
• Main Authors: Boutboul, Sandrine, MD, PhD, Letaief, Imène, MD, Lalloum, Franck, MD, Puech, Michel, MD, Borderie, Vincent, MD, PhD, Laroche, Laurent, MD, PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.09.2008; Elsevier Science
• Subjects: Acrylic Resins; Anterior Eye Segment - diagnostic imaging; Biological and medical sciences; Exfoliation Syndrome - diagnosis; Exfoliation Syndrome - etiology; Glaucoma and intraocular pressure; Glaucoma, Open-Angle - diagnosis; Glaucoma, Open-Angle - etiology; Humans; Lens Capsule, Crystalline - surgery; Lens Implantation, Intraocular - adverse effects; Lenses, Intraocular; Male; Medical sciences; Microscopy, Acoustic; Middle Aged; Ophthalmology; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the eye and orbit; Tomography, Optical Coherence; Eye disease; Pigmentary glaucoma; Secondary; Treatment; Surgery; Implantation; Ophthalmology; Intraocular lens
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/j.jcrs.2008.04.054

After uneventful phacoemulsification and in-the-bag implantation of an AcrySof SA60AT (Alcon) intraocular lens (IOL), a 52-year-old black man developed pigmentary glaucoma. Slitlamp examination, anterior segment optical coherence tomography, and ultrasound biomicroscopy showed that the posterior surface of the iris was being rubbed by the inferior haptic of the IOL, which was in the bag but deformed. Filtering surgery was needed to control the intraocular pressure. This type of IOL can cause IOL-induced pigmentary glaucoma.