Pigmentary Glaucoma After Cataract Surgery with Single-Piece Hydrophobic Intraocular Lens Implanted into the Ciliary Sulcus: Case Report

2021 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Intraocular Pressure ◽  
Intraocular Lens ◽  
Corneal Endothelium ◽  
Surgical Intervention ◽  
Posterior Segment ◽  
The Other ◽  
Pigmentary Glaucoma ◽  
Single Piece ◽  
History Of ◽  
Capsular Bag

A 59 years old man presented with a history of phacoemulsification with an hydrophobic intraocular lens implant in his left eye 4 years ago. The biomicroscopy revealed pigments in the corneal endothelium (Krukenberg’s spindle), peripheral transillumination of the iris and intraocular pressure of 52 mmHg in the left eye. Gonioscopy revealed hyperpigmentation of the posterior trabeculate. Posterior segment examination and visual field revealed a cup/disc 0.9 with significant field damage in strategy 10-2. Biomicroscopic ultrasonography showed asymmetric implantation of the IOL loops in the left eye (one loop in the ciliary sulcus and the other in the capsular bag). He underwent antiglaucomatous treatment with adequate control of intraocular pressure, with no need for surgical intervention.

scholarly journals Intraocular Lens Dislocation into the Anterior Chamber because of Repeated Eye-Poking in a Patient with Leber’s Congenital Amaurosis

2020 ◽  
Vol 11 (1) ◽  
pp. 48-53
Author(s):  
Abdullah A. Al-Owaid ◽  
Motazz A.  Alarfaj ◽  
Faris A. Alarfaj ◽  
Abdulaziz Awad
Keyword(s):  
Anterior Chamber ◽  
Intraocular Lens ◽  
Surgical Intervention ◽  
Posterior Chamber ◽  
Specific Behavior ◽  
Intraocular Lens Dislocation ◽  
Single Piece ◽  
Posterior Chamber Intraocular Lens ◽  
History Of ◽  
Leber’S Congenital Amaurosis

The dislocation of a posterior chamber intraocular lens (PC IOL) because of constant eye rubbing is unusual and has never been reported in a child with Leber’s congenital amaurosis (LCA). A 4-year-old full-term girl with an ocular history of LCA presented to the emergency room with a single-piece PC IOL dislocated into the anterior chamber (AC) of the left eye. There was no history of trauma or any other surgical intervention. A specific behavior known as Franceschetti’s oculo-digital sign is a characteristic feature of LCA; this sign consists of repeated pressing, poking, and rubbing of the eyes with knuckles and fingers to stimulate the photoreceptors. This behavior caused the dislocation of the PC IOL into the AC. The dislocated IOL was explanted, and the patient was provided with aphakic glasses.

Recurrent Vitreous Hemorrhage Secondary to Sulcus Positioning of a One-Piece Acrylic Intraocular Lens Haptic: Report of 3 Cases and Management With Retrocapsular Haptic Repositioning

2017 ◽  
Vol 1 (5) ◽  
pp. 328-330 ◽  
Author(s):  
Dimosthenis Mantopoulos ◽  
Jonathan L. Prenner ◽  
H. Matthew Wheatley
Keyword(s):  
Intraocular Lens ◽  
Vitreous Hemorrhage ◽  
Single Piece ◽  
Simple Alternative ◽  
Recurrent Vitreous Hemorrhage ◽  
Capsular Bag ◽  
Iol Exchange

Three pseudophakic patients presented with recurrent, unilateral vitreous hemorrhage, one of which also had uveitis, glaucoma, and hyphema, consistent with “uveitis–glaucoma–hyphema (UGH)-Plus” syndrome. Arcuate transillumination defects secondary to inadvertent placement of 1 intraocular lens (IOL) haptic in the sulcus were identified in each case. The second haptic and optic were located in the capsular bag. The IOLs were all single-piece foldable acrylic lenses with square-edge haptic design. Surgical repositioning of the malpositioned haptic from the sulcus to the retrocapsular space resulted in the resolution of the recurrent vitreous hemorrhage. This series highlights the fact that recurrent vitreous hemorrhage secondary to iris chafing, with or without UGH, may occur in cases where a square-edge IOL haptic is placed in the sulcus. Vitrectomy with repositioning of the malpositioned IOL is a simple alternative to IOL exchange in these cases.

scholarly journals Accidental multiple magnet ingestion by an adult: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 2050
Author(s):  
Suraj Gopal ◽  
Dubey Indu Bhushan ◽  
Junaid Ahmad Sofi
Keyword(s):  
Foreign Body ◽  
Surgical Intervention ◽  
The Other ◽  
Foreign Body Ingestion ◽  
Pressure Necrosis ◽  
History Of ◽  
Magnet Ingestion ◽  
Magnetic Foreign Body ◽  
Asymptomatic Individuals ◽  
Early Surgical Intervention

Accidental multiple magnetic foreign body ingestion although common in children is rare in adults. Multiple magnetic foreign body ingestion possess a definitive risk of causing intestinal perforation, volvulus or fistulas and requires early surgical intervention even in apparently asymptomatic individuals to prevent catastrophic complications. We report a case of an 18 year old male with a history of accidental simultaneous ingestion of two semi-circular shaped magnets along with a nail. The peculiarity of the case being that despite the magnets being simultaneously ingested, one was in the stomach and the other in the jejunum adhered to each other through the transverse colon mesentery causing pressure necrosis of the adjoining wall with the patient being asymptomatic.

To assess the role of cataract extraction in glaucoma management by its intraocular pressure lowering effect

2021 ◽  
pp. 1-9
Author(s):  
Muhammad Ifraheem Khan ◽  
Saba Ali Arif ◽  
Muhammad Tanweer Hassan Khan ◽  
Muhammad Adnan Khan ◽  
Muhammad Saleem ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Visual Fields ◽  
Cataract Extraction ◽  
P Value ◽  
Female Ratio ◽  
Keywords Glaucoma ◽  
Pressure Lowering ◽  
History Of ◽  
Age Range ◽  
Capsular Bag

Abstract Objective: To measure the mean change of intraocular pressure (IOP) in glaucoma patients with cataract after uncomplicated phacoemulsification surgery with intraocular lens (IOL) implanted in capsular bag. Methods: A total of 40 patients who had uncomplicated cataract extraction by phacoemulsification with IOL implant in the capsular bag in glaucomatous eyes of age 30-80 years were included. Patients with corneal pathologies or had corneal refractive procedure, history of ocular trauma, uveitis, retinal pathologies or other ocular comorbids were excluded. Visual acuity, IOP, slit lamp examination, fundoscopy, visual fields, details about topical medication and relevant history was recorded not more than 5 days before cataract extraction. IOP was recorded (first individually, then average of all) by Goldman’s applanation tonometer one day before surgery, 1 month and 3 months post op. Results: Age range in this study was from 30 to 80 years with mean age of 52.23 ± 9.44 years. Majority of the patients i.e. 28 (70.0%) were between 30 to 55 years of age. Out of these 40 patients, 19 (47.50%) were male and 21 (52.50%) were females with male to female ratio of 1:1.1. Mean pre-operative IOP was 20.42 ± 1.69 mmHg, after 1 month of surgery was 18.55 ± 0.90 mmHg and after 3 months was 17.03 ± 1.19 mmHg (p-value = 0.0001). Conclusion: This study concluded that there is significant change of intraocular pressure in glaucoma patients with cataract after uncomplicated phacoemulsification surgery with IOL implanted in capsular bag. Keywords: Glaucoma, phacoemulsification, intraocular pressure Continuous...

scholarly journals XVIII. On the development of Carcinus mænas

1857 ◽  
Vol 8 ◽  
pp. 544-546
Keyword(s):  
Carcinus Maenas ◽  
Posterior Segment ◽  
The Other ◽  
Adult Type ◽  
General Law ◽  
Other Hand ◽  
Perfect Form ◽  
History Of ◽  
The Subject ◽  
Larval Condition

The author, after noticing the history of the subject, and the opposition which the assertion, “that the Zoë of naturalists is the larva of a common crab,” received, traces the progress of the development of the animal from the Zæa to the adult, and endeavours to demonstrate, that from the youngest to the most perfect form, the changes are the result of no sudden transformation, but produced by a gradual series of alterations contemporary with every succeeding moult; that the Zæa is connected with the Megalopa , and the latter with the adult by many intermediate gradations, each in itself scarcely appreciable, and progressively approximating nearer and nearer the more perfect stages. The author asserts that the development is earliest and most complete anteriorly; that when first born, the seventh or posterior segment of the head, one or more of the posterior segments of the pereion (thorax), and the penultimate of the pleon (abdomen) are wanting in the brachyurous Decapods; but that this general law loses somewhat of its force in the descending scale of development; and as it becomes less persistent, the animal approximates in the larval condition nearer to the form of the adult type; while on the other hand, the same appears to be a constant law of the depreciation in adult forms, as exhibited in the more or less aberrant Amphipoda, such as Cyrtophium, Dulichia , &c.

scholarly journals Significant hyperopic shift in a patient with extreme myopia following severe hypotonia caused by glaucoma filtering surgery

2018 ◽  
Vol 29 (1) ◽  
pp. NP6-NP9 ◽  
Author(s):  
João C Costa ◽  
Jorge Alió
Keyword(s):  
Intraocular Pressure ◽  
Macular Edema ◽  
Intraocular Lens ◽  
Axial Length ◽  
Length Change ◽  
Filtering Surgery ◽  
Lens Extraction ◽  
History Of ◽  
Severe Hypotonia ◽  
The Right

Introduction: To report the case of a high hyperopic refractive shift associated with significant shortening of the ocular axial length following glaucoma filtering surgery. Methods: Case report. Patient’s records were consulted retrospectively. Results: A 57-year-old woman, highly myopic, with a history of bilateral intraocular refractive surgery in 1998 (phakic lens ZB5M) and bilensectomy in 2011 (phakic intraocular lens extraction plus cataract surgery with pseudophakic intraocular lens implantation), presented with consistently high intraocular pressure. Despite the treatment with different topical antiglaucomatous medications and good compliance, her intraocular pressure values remained consistently above 20 mmHg. In 2016, the patient was submitted for glaucoma filtering surgery and the mini shunt Ex-Press was implanted in both the eyes (3 months between surgeries). On the first postoperative day, the eyes were hypotonic (intraocular pressure of 5 mmHg) and bilateral macular edema was observed. Three days later, the intraocular pressure in both the eyes reached values higher than 6 mmHg (between 6 and 14 mmHg). Five months after the surgery the macular edema resolved and a significant shortening of the axial length and an important hyperopic refractive shift was observed. When comparing the preoperative and postoperative (18 months) measurements, the variation of the axial length was 2.49 mm in the right eye and 2.19 mm in the left eye; the patient refraction (spherical equivalent) shifted 2.50 diopters in the right eye and 1.75 diopters in the left eye. Conclusion: To the best of our knowledge, we report herein the first documented case of an axial length change of this magnitude after glaucoma filtering surgery.

scholarly journals Complication of foldable single-piece intraocular lens sulcus implantation in a child under two years old

2020 ◽  
Vol 1 (4) ◽  
pp. 295-300
Author(s):  
Julie Dewi Barliana
Keyword(s):  
Anterior Chamber ◽  
Intraocular Lens ◽  
Corneal Endothelium ◽  
Inflammatory Process ◽  
Posterior Chamber ◽  
Iol Implantation ◽  
Single Piece ◽  
Shallow Anterior Chamber ◽  
One Year ◽  
Corneal Diameter

A two-and-a-half-year-old boy presented to Cipto Mangunkusumo Hospital, Jakarta, Indonesia with a white spot on his left eye. He had cataract surgery one year prior at another hospital. On examination, corectopia, anterior synechiae, white plaque between the iris and corneal endothelium, a shallow anterior chamber, and an intraocular lens (IOL) in the posterior chamber were found. As a result, anterior chamber reformation and IOL explantation was performed. Intraoperatively, a foldable single-piece IOL was found in the ciliary sulcus. Hence, extreme inflammatory process after the operation was unavoidable. One month after the procedure, the cornea was opaque without an increase in intraocular pressure. It is recommended to perform IOL implantation only in children over two years of age with a corneal diameter more than 9 mm. A three-piece IOL might be implanted in the area of the ciliary sulcus only if the child needs an immediate IOL implant.

scholarly journals Sutureless, Glueless, Scleral Fixation of Single-Piece and Toric Intraocular Lens: A Novel Technique

2015 ◽  
Vol 6 (2) ◽  
pp. 239-245 ◽  
Author(s):  
Aditya Kelkar ◽  
Rachana Shah ◽  
Jai Kelkar ◽  
Shreekant Kelkar ◽  
Ekta Arora
Keyword(s):  
Intraocular Pressure ◽  
Intraocular Lens ◽  
Pigment Dispersion ◽  
Toric Intraocular Lens ◽  
Scleral Fixation ◽  
Novel Technique ◽  
Single Piece ◽  
Intraocular Hemorrhage ◽  
Elevated Intraocular Pressure ◽  
Capsular Support

Sutureless, glueless, scleral fixation of an intraocular lens is a known technique of fixing a lens in the scleral pockets. However, this technique is applied to single-piece and toric lenses instead of 3-piece lenses, allowing the advantage of the use of premium lenses in patients with poor capsular support. Favourable results without complications of pigment dispersion, iris transillumination defects, dysphotopsia, elevated intraocular pressure, intraocular hemorrhage and cystoid macular edema with a well-centered, stable intraocular lens have been observed in the 3-month postoperative period in both cases.

scholarly journals An Iconic Case of Pigmentary Glaucoma: Brief Review of the Literature

2020 ◽  
Vol 11 (2) ◽  
pp. 377-384
Author(s):  
Mariachiara Di Pippo ◽  
Chiara Ciancimino ◽  
Luca Scuderi ◽  
Andrea Perdicchi
Keyword(s):  
Intraocular Pressure ◽  
Trabecular Meshwork ◽  
Corneal Endothelium ◽  
Posterior Part ◽  
Pigment Dispersion ◽  
Pigmentary Glaucoma ◽  
Anterior Surface ◽  
Review Of The Literature ◽  
Pigment Dispersion Syndrome

Pigment dispersion syndrome and pigmentary glaucoma are two conditions characterized by pigment dispersion originating from the posterior part of the iris and its accumulation on the trabecular meshwork, corneal endothelium, and anterior surface of the lens. The pigment on the trabecular meshwork can cause chronic inflammation with a secondary reduction of its function and an increase in intraocular pressure. The case presented represents a typical example of pigmentary glaucoma in a myopic patient in which all the signs, symptoms, and complications typical of these pathologies were present. We report and describe an 8-year-long follow-up period with clinical and instrumental examinations.

scholarly journals Repeated pupillary capture and pigmentary glaucoma after implantation of reversed three-piece sulcus intraocular lens

2013 ◽  
Vol 13 (2) ◽  
pp. 48-51
Author(s):  
Ha-Uyen T Nguyen ◽  
Elizabeth Yeu-Lin ◽  
Albert P Lin
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Poor Adherence ◽  
Pigmentary Glaucoma ◽  
Baylor College ◽  
Anterior Vitrectomy ◽  
Complicated Cataract ◽  
Surgical Iridectomy

A 58-year-old man underwent phacoemulsification, anterior vitrectomy, and areversed three-piece intraocular lens placement in the sulcus. He developed pseudophakic pupillaryblock with optic capture of the intraocular lens four months later and underwent intraocularlens repositioning combined with surgical iridectomy. After 18 months, he had elevated intraocularpressure that was thought to be secondary to complicated cataract surgery, and he wasprescribed topical glaucoma medications. He had poor adherence and follow-up attendance.After another six months, he presented to the Baylor College of Medicine, Houston, USA, withan intraocular pressure of 30 mmHg and advanced pigmentary glaucoma. The intraocular lensoptic was captured by the pupil after dilation. A trabeculectomy and intraocular lens exchangewas performed. Reversed intraocular lens in the sulcus may present as repeated intraocular lenspupillary capture and result in the development of pigmentary glaucoma.

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