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Pigment dispersion syndrome associated with intraocular lens implantation: a new surgical technique.

Canut Jordana MI, Pérez Formigó D, Abreu González R, Nadal Reus J - Clin Ophthalmol (2010)

Bottom Line: In this case, Nd:YAG laser iridotomy and laser iridoplasty were not effective for iridolenticular separation and control of the pigment dispersion.Stitches on the iris surface should be considered as optional therapy in pigmentary glaucoma secondary to intraocular lens implantation.This surgical technique can avoid potential iridolenticular contacts more definitively.

View Article: PubMed Central - PubMed

Affiliation: Barraquer Ophthalmology Centre, Barcelona, Spain. mcanut@co-barraquer.es

ABSTRACT

Aims: We report the case of a myopic patient who, after intraocular lens transplant in the posterior chamber, suffered elevated intraocular pressure due to pigment dispersion, with recurrent episodes of blurred vision. The patient was treated with a new surgical technique that can avoid potential iridolenticular contact.

Methods: Complete ophthalmologic examination and optical coherence tomography (OCT) of the anterior segment were performed.

Results: Contact between the pigmentary epithelium and the iris with an intraocular lens was revealed by utrasound biomicroscopy and OCT. In this case, Nd:YAG laser iridotomy and laser iridoplasty were not effective for iridolenticular separation and control of the pigment dispersion. We propose a new technique: stitches on the surface of the iris to obtain good iridolenticular separation and good intraocular pressure control.

Conclusion: Stitches on the iris surface should be considered as optional therapy in pigmentary glaucoma secondary to intraocular lens implantation. This surgical technique can avoid potential iridolenticular contacts more definitively.

No MeSH data available.


Related in: MedlinePlus

Detail showing iridolenticular separation after prolene 10/0 stitches optical coherence tomography.
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f6-opth-4-1263: Detail showing iridolenticular separation after prolene 10/0 stitches optical coherence tomography.

Mentions: Six months after placement of the prolene stitches in the iris, we observed good tolerance (Figure 5), an absence of pigment dispersion in anterior chamber, and a good iridolenticular separation in the OCT (Figure 6). Without antiglaucoma medication, uncorrected visual acuity was 0.65, and an IOP of 17 mmHg.


Pigment dispersion syndrome associated with intraocular lens implantation: a new surgical technique.

Canut Jordana MI, Pérez Formigó D, Abreu González R, Nadal Reus J - Clin Ophthalmol (2010)

Detail showing iridolenticular separation after prolene 10/0 stitches optical coherence tomography.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2993126&req=5

f6-opth-4-1263: Detail showing iridolenticular separation after prolene 10/0 stitches optical coherence tomography.
Mentions: Six months after placement of the prolene stitches in the iris, we observed good tolerance (Figure 5), an absence of pigment dispersion in anterior chamber, and a good iridolenticular separation in the OCT (Figure 6). Without antiglaucoma medication, uncorrected visual acuity was 0.65, and an IOP of 17 mmHg.

Bottom Line: In this case, Nd:YAG laser iridotomy and laser iridoplasty were not effective for iridolenticular separation and control of the pigment dispersion.Stitches on the iris surface should be considered as optional therapy in pigmentary glaucoma secondary to intraocular lens implantation.This surgical technique can avoid potential iridolenticular contacts more definitively.

View Article: PubMed Central - PubMed

Affiliation: Barraquer Ophthalmology Centre, Barcelona, Spain. mcanut@co-barraquer.es

ABSTRACT

Aims: We report the case of a myopic patient who, after intraocular lens transplant in the posterior chamber, suffered elevated intraocular pressure due to pigment dispersion, with recurrent episodes of blurred vision. The patient was treated with a new surgical technique that can avoid potential iridolenticular contact.

Methods: Complete ophthalmologic examination and optical coherence tomography (OCT) of the anterior segment were performed.

Results: Contact between the pigmentary epithelium and the iris with an intraocular lens was revealed by utrasound biomicroscopy and OCT. In this case, Nd:YAG laser iridotomy and laser iridoplasty were not effective for iridolenticular separation and control of the pigment dispersion. We propose a new technique: stitches on the surface of the iris to obtain good iridolenticular separation and good intraocular pressure control.

Conclusion: Stitches on the iris surface should be considered as optional therapy in pigmentary glaucoma secondary to intraocular lens implantation. This surgical technique can avoid potential iridolenticular contacts more definitively.

No MeSH data available.


Related in: MedlinePlus