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

Li, Emmy Yuen-mei; Wu, Wai-Kwan; Jhanji, Vishal

doi:10.1111/j.1444-0938.2010.00577.x

Cited by 11 publications

(10 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been documented in several reports that Nd:YAG laser capsulotomy disrupts anterior hyaloid phase in 33% of cases along with posterior capsule 4. This leads to pupillary block due to vitreous prolapse and IOL movement as seen in our patient.…”

Section: Global Health Problem Analysissupporting

confidence: 58%

Headache: tip of the iceberg

Kommineni

Krishnamurthy

2020

BMJ Case Rep

View full text Add to dashboard Cite

We report the case of a 64-year-old pseudophakic patient in a rural area who chronically suffered from headache with eye pain and was on analgesics for pain relief but never turned up to an ophthalmologist. There was lack of awareness to visit an ophthalmologist for headache as he thought that after undergoing cataract surgery, the role of ophthalmologist was limited. His approach to our centre was only after intense headache with sudden loss of vision. He had actually developed secondary glaucoma due to pupillary block angle closure as a late complication following yttrium aluminium garnet capsulotomy. After medical and surgical management, he regained his complete vision with total relief from headache.

show abstract

Section: Global Health Problem Analysissupporting

confidence: 58%

Headache: tip of the iceberg

Kommineni

Krishnamurthy

2020

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…Waisoburd et al reported a case of aphakic pupillary block which resolved after peripheral iridotomy. [9] A different case of vitreous prolapse into the anterior chamber following Nd: YAG capsulotomy, with ensuing pupillary block glaucoma managed by laser iridotomy, was reported by Li et al [5] Unlike previously reported cases, however, peripheral iridotomy failed to relieve the pupillary block component in our patient, presumably as the iridotomy aperture was immediately blocked by the vitreous substance. Nd: YAG laser vitreolysis of the vitreous substance protruding through the pupillary aperture was successful with immediate resolution of the angle-closure episode and normalization of the IOP.…”

Section: Discussionmentioning

confidence: 43%

“…Essentially, a prevention of aqueous flow from the posterior to the anterior chamber through the pupillary aperture, pupillary block may be caused by posterior synechiae, a crystalline or artificial lens, silicone oil, or vitreous substance. [1][2][3][4][5] Prolapse of vitreous through the pupillary aperture as a cause of pupillary block is uncommon and should be managed carefully. Although laser iridotomy is considered the mainstay of treatment in pupillary block, [6,7] it is not always an effective treatment strategy.…”

Section: Introductionmentioning

confidence: 99%

Aphakic pupillary block: A case study and review of the literature

Barnir¹,

Hadayer²,

Geffen³

et al. 2018

cleverjournal

View full text Add to dashboard Cite

This study was aimed to describe a case study of a 75-year-old male patient with aphakic pupillary block. Angle-closure glaucoma is a sight-threatening condition. Pupillary block is often a component of angle-closure glaucoma that has multiple possible etiologies. Prolapse of vitreous through the pupillary aperture as a cause of pupillary block is uncommon. Although laser iridotomy is the mainstay treatment in pupillary block, it is not always an effective treatment strategy for this particular clinical scenario. A 75-yearold male presented to the emergency department with symptoms and signs compatible with aphakic acute angle closure secondary to vitreous prolapse through the pupillary aperture, causing pupillary block. The patient was treated with topical intraocular pressure (IOP) lowering agents and systemic hyperosmotics resulting in a moderate decrease in IOP. Treatment attempt to relieve the pupillary block component with Nd: YAG laser iridotomy was ineffective. The second attempt at Nd: YAG laser aimed at the vitreous bubble protruding through the pupillary aperture was successful, with immediate aqueous humor flow and deepening of the anterior chamber, IOP decrease, and resolution of symptoms. Anterior segment photographs and anterior segment optical coherence tomography (AS-OCT) scans obtained before and following the procedure were useful in evaluating and documenting the clinical scenario and eventual vitreous block resolution. We report an unusual case of vitreous pupillary block and treatment strategy using Nd: YAG laser vitreolysis. Anterior segment imaging, particularly AS-OCT, is a useful auxiliary test for evaluation and documentation in such complex cases.

show abstract

“…2,3 Vitreous prolapse into the anterior chamber after Nd: YAG capsulotomy has been reported to cause angle closure glaucoma. 4 Cataract surgery in pseudoexfoliation syndrome may be complicated by an increased incidence of vitreous loss. 5 But we are not aware of any reports of a delayed migration of vitreous into the posterior chamber pushing the iris forward and leading to a rise in intraocular pressure as in our case.…”

Section: Discussionmentioning

confidence: 99%

Angle closure glaucoma caused by delayed vitreous prolapse into the posterior chamber after phacoemulsification

Muralidhar¹,

Ramamurthy²

2018

Asian JO

View full text Add to dashboard Cite

Vitreous in the anterior chamber is a known cause of raised intraocular pressure following cataract surgery. We present a case of delayed intraocular pressure following cataract surgery in a patient with pseudoexfoliation caused by vitreous prolapse into the posterior chamber. Control of intraocular pressure was achieved by an anterior vitrectomy. Prompt recognition and management of this condition is essential for a good outcome.

show abstract

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

Cited by 11 publications

References 8 publications

Headache: tip of the iceberg

Headache: tip of the iceberg

Aphakic pupillary block: A case study and review of the literature

Angle closure glaucoma caused by delayed vitreous prolapse into the posterior chamber after phacoemulsification

Contact Info

Product

Resources

About