Acute angle-closure glaucoma caused by vitreous prolapse after neodymium:YAG posterior capsulotomy

Mihora, Lisa D.; Bowers, Patrick; Blank, Nancy M.

doi:10.1016/j.jcrs.2004.04.059

Cited by 8 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The laser causes disruption of the anterior vitreous face in approximately 33 per cent of cases, which may cause vitreous prolapse into the anterior chamber 1 . Mihora, Bowers and Blank 4 have reported acute angle‐closure glaucoma after Nd:YAG capsulotomy, which required a subsequent penetrating keratoplasty due to decompensation of the corneal endothelium. In the present case, the major concerns were the risk of pupillary block glaucoma and endothelial decompensation.…”

Section: Discussionmentioning

confidence: 99%

“…These include increased intraocular pressure (4.5 to 90 per cent), 1 iris haemorrhage (one to five per cent), 1 cystoid macular oedema (0.7 to 4.9 per cent), 1,2 intraocular lens (IOL) damage (four to 40 per cent) 1,3 and retinal detachment (0.5 to 3.6 per cent) 1,2 . Pupillary block glaucoma, 4,5 IOL dislocation, 6 corneal oedema 4 and low‐grade endophthalmitis 7 are other complications that have been reported in isolation.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Pupillary block glaucoma secondary to vitreous prolapse after Nd:YAG capsulotomy

Jhanji

2011

Clinical and Experimental Optometry

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Pupillary block glaucoma secondary to vitreous prolapse after Nd:YAG capsulotomy

Jhanji

2011

Clinical and Experimental Optometry

View full text Add to dashboard Cite

“…Interestingly, we also found a transient resolution of macular retinoschisis after Nd: YAG laser posterior capsulotomy in the right eye. The high energy of the Nd: YAG laser can rupture the anterior hyaloid face and result in vitreous liquefaction immediately [ 10 ]. Hence, the most plausible explanation is that vitreous traction was temporarily decreased because of the vitreous liquefaction following Nd: YAG laser posterior capsulotomy process.…”

Section: Discussionmentioning

confidence: 99%

Management of angle-closure glaucoma with X-linked retinoschisis: a case report

Pan

et al. 2023

BMC Ophthalmol

View full text Add to dashboard Cite

Background X-linked retinoschisis (XLRS), due to mutations in the RS1 gene, is a common genetically determined form of macular degeneration. This report describes an unusual case of angle-closure glaucoma (ACG) with XLRS and discusses the treatment. Case presentation A 39-year-old Chinese man with an X chromosome-recessive inherited c.489G > A variant in the RS1 gene was diagnosed as XLRS and ACG, presenting with cystic macular lesions, shallow anterior chamber depth (ACD), and angle-closure with uncontrolled intraocular pressure (IOP). Malignant glaucoma occurred following trabeculectomy combining phacoemulsification with intraocular lens (IOL) implantation and goniosynechialysis. Subsequent anterior vitrectomy and irido-zonulo-hyaloid-vitrectomy (IZHV) effectively lowered IOP and deepened ACD, but the cystic cavity became larger. Conclusions There is a potential risk of malignant glaucoma in ACG patients with XLRS after filtering surgery. Although anterior vitrectomy can effectively resolve aqueous misdirection, the macular retinoschisis may get worse. Awareness of this risk may aid in surgical planning and postoperative management in these patients.

show abstract

“…Although this complication occurs frequently in eyes with an out-of-the-bag IOL with a partially damaged lens capsule, weakness or rupture of Zinn's zonule could cause displacement of the capsular bag that contains an IOL [2,3]. Ocular hypertension might be caused by pupillary block due to adhesion of the IOL to the iris [4], dislocation of an out-of-the-bag IOL [5], and vitreous body prolapse after YAG laser posterior capsulotomy for secondary cataract in patients with an in-the-bag IOL [6].…”

Section: Introductionmentioning

confidence: 99%

A Case of Repeating Transient Increase in Intraocular Pressure by Instability of an Intraocular Lens Implanted in the Capsular Bag

Takada¹,

Sumioka²,

Ishikawa³

et al. 2020

Case Rep Ophthalmol

View full text Add to dashboard Cite

KeywordsIn-the-bag intraocular lens · Dislocation of an intralocular lens · Repeating increase in intraocular pressure and normalization · In situ scleral refixation AbstractWe observed repeated episodes of rapid increases in intraocular pressure (IOP) considered to be caused by an in-the-bag intraocular lens (IOL) instability in a patient with an implanted IOL. As acute glaucoma attack-like increase in IOP was noted in the left eye on November 8, she was admitted to Wakayama Medical University Hospital. The findings at the first examination included an IOP of 62 mm Hg, instability of a PMMA one-piece IOL, shallow anterior chamber, narrow angle, moderate mydriasis, and loss of pupillary light reaction in the left avitreous eye. On November 15, a 6-mm Hg increase in IOP was observed during 60-min dark room prone provocative testing. After the first examination, the patient perceived pain and reduced visual acuity of the left eye and emergently consulted our hospital twice. Despite miosis, normalization of the anterior chamber depth and IOP with widening of the angle were achieved by resting in the supine position. These episodes were thought to be caused by instability and anterior shift of the IOL. On January 17, 2018, suture fixation of the in-the-bag IOL was performed. The IOL was fixed by transscleral suturing of the bilateral supporting parts to the sclera. Recurrence of sudden ophthalmalgia, instability of the in-the-bag IOL, and an increase in IOP have not been observed for 1 year after surgical treatment. Instability of an in-the-bag IOL caused Case

show abstract

Acute angle-closure glaucoma caused by vitreous prolapse after neodymium:YAG posterior capsulotomy

Cited by 8 publications

References 7 publications

Pupillary block glaucoma secondary to vitreous prolapse after Nd:YAG capsulotomy

Pupillary block glaucoma secondary to vitreous prolapse after Nd:YAG capsulotomy

Management of angle-closure glaucoma with X-linked retinoschisis: a case report

A Case of Repeating Transient Increase in Intraocular Pressure by Instability of an Intraocular Lens Implanted in the Capsular Bag

Contact Info

Product

Resources

About