ABSTRACT
A 78-year-old man had uneventful cataract surgery with implantation of a 1-piece plate-haptic intraocular lens in the capsular bag. Seven weeks later, he presented as an emergency with intense fibrinous uveitis and increased intraocular pressure (IOP). Examination revealed an inflammatory capsular block syndrome (CBS) causing fibrinous anterior uveitis and secondary angle-closure glaucoma. The glaucoma resolved and the patient's vision improved following neodymium:YAG laser posterior capsulotomy. Inflammatory CBS should be considered in pseudophakic patients presenting with fibrinous anterior uveitis, increased IOP, and secondary angle closure.
Subject(s)
Glaucoma, Angle-Closure/etiology , Lens Capsule, Crystalline/pathology , Lens Diseases/complications , Phacoemulsification , Uveitis, Anterior/etiology , Aged , Capsulorhexis , Gonioscopy , Humans , Intraocular Pressure , Laser Therapy , Lasers, Solid-State/therapeutic use , Lens Capsule, Crystalline/surgery , Lens Diseases/surgery , Lens Implantation, Intraocular , Male , Tomography, Optical Coherence , Tonometry, Ocular , Visual Acuity/physiologyABSTRACT
We describe the clinical features and management of a 36-year-old man with aniridia and aphakia following blunt ocular trauma. Examination showed partial aniridia and aphakia. We discuss the various options available in the management of this patient and describe the surgical technique involved in the implantation of an iris reconstruction implant.
