Bilateral Explantation of Visian Implantable Collamer Lenses Secondary to Bilateral Acute Angle Closure Resulting From a Non-pupillary Block Mechanism

2011 ◽  
Vol 2011 ◽  
pp. 69-70
Author(s):  
S.J. Fudemberg
2021 ◽  
pp. 882-888
Author(s):  
Michihiro Kono ◽  
Akiko Ishida ◽  
Sho Ichioka ◽  
Masato Matsuo ◽  
Hiroshi Shimizu ◽  
...  

An 85-year-old Japanese woman with acute primary angle closure in her right eye underwent cataract extraction. Because of the weakness of the Zinn’s zonules, all of the lens tissue including the lens capsule was removed by phacoemulsification. Because of the absence of vitreous prolapse into the anterior chamber, vitrectomy was not performed. Nine days postoperatively, acute angle closure due to pupillary block by an anterior vitreous membrane developed. To resolve the pupillary block, anterior vitrectomy was performed on the same day. Postoperatively, her symptoms resolved, the anterior chamber deepened, and the intraocular pressure normalized. Although rare, acute angle closure due to pupillary block by an anterior vitreous membrane can occur after total lens extraction with phacoemulsification. If no vitreous prolapse occurs with total lens extraction, an intentional hyaloidotomy using an anterior vitreous cutter or iridectomy should be considered to avoid secondary angle closure.


2021 ◽  
Vol 11 (7) ◽  
pp. 3140
Author(s):  
Michał Wiciński ◽  
Bartlomiej J. Kaluzny ◽  
Sławomir Liberski ◽  
Daria Marczak ◽  
Jakub J. Kaluzny

Acute angle closure (AAC) is a relatively rare but serious ophthalmological condition in which early diagnosis and intraocular pressure (IOP) -lowering treatment play a key role in prognosis. The aim of this review is to present current understanding of the pathophysiology, symptoms, diagnosis, potential mechanisms as well as management of AAC associated with the use of selective serotonin reuptake inhibitors (SSRIs). In most cases, AAC in individuals receiving SSRIs occurs in the pupillary block mechanism, secondary to SSRI-induced mydriasis. However, SSRIs may also cause uveal effusion and, consequently, iridocorneal angle closure. Other factors such as impaired metabolism and elimination of SSRIs, individual genetic conditions, as well as inhibition of SSRIs metabolism due to the effects of other drugs used may also promote AAC.


2016 ◽  
Vol 45 (4) ◽  
pp. 366-370 ◽  
Author(s):  
Yanin Suwan ◽  
Sunpong Jiamsawad ◽  
Wasu Supakontanasan ◽  
Chaiwat Teekhasaenee

2021 ◽  
pp. 1-4
Author(s):  
Gerardo Esteban Cepeda-Ortegon ◽  
Alan Baltazar Treviño-Herrera ◽  
Abraham Olvera-Barrios ◽  
Alejandro Martínez-López-Portillo ◽  
Jesús Mohamed-Hamsho ◽  
...  

1993 ◽  
Vol 17 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Arthur S. M. Lim ◽  
Audrey Tan ◽  
Paul Chew ◽  
Steve Seah ◽  
Geh Min ◽  
...  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alexander Walters ◽  
Nathan Lambert ◽  
Seth Bricel ◽  
Thomas Hwang ◽  
Eliesa Ing ◽  
...  

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