Iritis with destabilization of the intraocular pressure due to dislocation of a posterior chamber intraocular lens.
Summary of "Iritis with destabilization of the intraocular pressure due to dislocation of a posterior chamber intraocular lens."
This report concerns the case of a 67-year-old male patient who underwent uncomplicated phacoemulsification with implantation of a posterior chamber intraocular lens (IOL). After an interval of 2 months the patient developed iritis together with an uncontrollable increase in intraocular pressure. After a detailed examination a dislocated haptic of the IOL was identified as the cause of the symptoms. The dislocation had led to uveitis-glaucoma-hyphema syndrome although no hemorrhage was observed. In addition to this complication the haptic had arroded the zonular complex which made implantation of an anterior chamber lens necessary. Although improvements in operating techniques, lens materials and designs have been made uveitis-glaucoma-hyphema syndrome has to be kept in mind. Surgical intervention is the only therapeutic option.
Affiliation
Augenärztliches Operationszentrum AOZ, Marktstr. 8, 36037, Fulda, Deutschland, dhandzel@augenaerzte-fulda.de.
Journal Details
This article was published in the following journal.
Name: Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
ISSN: 1433-0423
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22415453
- DOI: http://dx.doi.org/10.1007/s00347-011-2512-9
Medical and Biotech [MESH] Definitions
Glaucoma, Angle-closure
A form of glaucoma in which the intraocular pressure increases because the angle of the anterior chamber is blocked and the aqueous humor cannot drain from the anterior chamber.
Uveitis, Anterior
Inflammation of the anterior uvea comprising the iris, angle structures, and the ciliary body. Manifestations of this disorder include ciliary injection, exudation into the anterior chamber, iris changes, and adhesions between the iris and lens (posterior synechiae). Intraocular pressure may be increased or reduced.
Low Tension Glaucoma
A form of GLAUCOMA in which chronic optic nerve damage and loss of vision normally attributable to buildup of intraocular pressure occurs despite prevailing conditions of normal intraocular pressure.
Molteno Implants
Devices implanted to control intraocular pressure by allowing aqueous fluid to drain from the anterior chamber. (Hoffman, Pocket Glossary of Ophthalmologic Terminology, 1989)
Posterior Capsular Rupture, Ocular
A breach in the continuity of the posterior chamber of the eyeball.
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