Pseudophakic Pupillary Block after Toxic Anterior Segment Syndrome
10.3341/jkos.2019.60.8.797
- Author:
Chan Hong MIN
1
;
Junki KWON
Author Information
1. Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jkwon0620@naver.com
- Publication Type:Case Report
- Keywords:
Iridectomy;
Pseudophakia;
Toxic anterior segment syndrome
- MeSH:
Aged, 80 and over;
Anterior Chamber;
Female;
Humans;
Inflammation;
Intraocular Pressure;
Iridectomy;
Lens Implantation, Intraocular;
Phacoemulsification;
Pseudophakia
- From:Journal of the Korean Ophthalmological Society
2019;60(8):797-801
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report a case of pseudophakic pupillary block after toxic anterior segment syndrome (TASS). CASE SUMMARY: An 84-year-old woman underwent phacoemulsification and intraocular lens implantation in the posterior chamber. Six days after surgery, anterior chamber inflammation was seen. Twenty-five days after surgery, a sudden increase in intraocular pressure (IOP) associated with pupillary block was observed. Despite the use of IOP-lowering medication, the IOP was not controlled. Peripheral laser iridotomy failed. After surgical peripheral iridectomy, IOP decreased significantly and was controlled. CONCLUSIONS: Despite the rarity of TASS combined with pseudophakic pupillary block, clinicians must be aware of this condition in patients showing prolonged inflammatory state and IOP elevation after surgery.
