Elevated intraocular pressure in secondary piggyback intraocular lens implantation.

Abstract

We report 2 cases of postoperative intraocular pressure (IOP) elevation in secondary piggyback intraocular lens (IOL) implantation without history of glaucoma or ocular hypertension. A 74-year-old woman with myopic pseudophakia and a 68-year-old man with hyperopic pseudophakia received secondary piggyback AcrySof IOL implantation in their left eyes. In both patients, the left IOP gradually increased and sustained around 30 mm Hg for about 1 year. In the first, IOP continued elevating despite topical and systemic medications. There was an episode of pupillary block in the second. Gonioscopically, heavier trabecular meshwork pigmentation in their left eyes was observed. Because of this, the 2 IOLs implanted were removed and replaced by an adequate IOL and trabeculotomy was performed in the former. The AcrySof IOL has a truncated optic edge, which increases the risk for chafing the iris, resulting in pigment dispersion syndrome; thus, it would be a poor choice for a sulcus-placed piggyback implantation.

• Authors: Takeshi Iwase, Nobushige Tanaka
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 31 Issue 9 Pg. 1821-3 (Sep 2005) ISSN: 0886-3350 [Print] United States
• PMID: 16246790 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Acrylic Resins

Topics

• Acrylic Resins
• Aged
• Device Removal
• Female
• Gonioscopy
• Humans
• Hyperopia (complications, surgery)
• Intraocular Pressure
• Lens Implantation, Intraocular (adverse effects)
• Lenses, Intraocular
• Male
• Myopia (complications, surgery)
• Ocular Hypertension (etiology, surgery)
• Postoperative Complications
• Prosthesis Design
• Pseudophakia (complications, surgery)
• Trabeculectomy