A Case of Acute Angle Closure Caused by Dislocation of Accommodative Intraocular Lens.
10.3341/jkos.2016.57.9.1493
- Author:
Hyun Ji HWANG
1
;
Young Hoon HWANG
;
Jung Jin LEE
;
Byoung Yeop KIM
Author Information
1. Myung-Gok Eye Research Institute, Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. brainh@hanmail.net
- Publication Type:Case Report
- Keywords:
Accommodative intraocular lens;
Angle closure;
Cataract;
Glaucoma;
WIOL-CF®
- MeSH:
Anterior Chamber;
Cataract;
Dislocations*;
Glaucoma;
Humans;
Intraocular Pressure;
Iris;
Lenses, Intraocular*;
Male;
Middle Aged;
Mydriatics;
Phacoemulsification
- From:Journal of the Korean Ophthalmological Society
2016;57(9):1493-1497
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of acute angle closure after cataract surgery using an accommodative intraocular lens (IOL), WIOL-CF® (GELMED, Praha, Czech). CASE SUMMARY: A 46-year-old male patient underwent phacoemulsification and implantation of WIOL-CF® into the capsular bag. Seven months after the surgery, a sudden increase in intraocular pressure (IOP) associated with angle closure was observed. Ultrabiomicroscopy revealed a dislocated WIOL-CF® that was pushing the peripheral iris anteriorly. Despite the use of IOP-lowering medication and peripheral laser iridotomy, IOP was not controlled. After the use of cycloplegics, the angle was widened and IOP decreased; however, after nine days, the WIOL-CF® was completely dislocated into the anterior chamber and so was removed. CONCLUSIONS: When performing cataract surgery using WIOL-CF®, a possibility of dislocation of IOL and subsequent angle closure should be considered.
