Pseudophakic glaucoma and angle closure in a patient with an anterior chamber intraocular lens

Alison X Chan; Kaileen Yeh; Mathieu Bakhoum; Jiun L Do

doi:10.1016/j.ajoc.2020.100877

Pseudophakic glaucoma and angle closure in a patient with an anterior chamber intraocular lens

Am J Ophthalmol Case Rep. 2020 Aug 16:20:100877. doi: 10.1016/j.ajoc.2020.100877. eCollection 2020 Dec.

Authors

Alison X Chan¹, Kaileen Yeh¹, Mathieu Bakhoum¹, Jiun L Do¹

Affiliation

¹ Viterbi Family Department of Ophthalmology, Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA.

Abstract

Purpose: To report use of ultrasound biomicroscopy (UBM) and anterior segment ocular coherence tomography (AS-OCT) in a case of pseudophakic glaucoma in a patient with an anterior chamber intraocular lens.

Observations: UBM and AS-OCT were critical in determining a non-drug related etiology of angle closure. Images indicated anterior obstruction of the pupil secondary to anterior chamber intraocular lens, but also posterior obstruction of the pupil secondary to the anterior hyaloid face.

Conclusions: When evaluating a patient with suspected angle closure, it is important to perform a full ophthalmologic examination, including gonioscopy, as well as a thorough review of past medical history and medications so as not to miss systemic-related etiologies. Imaging with B-scan, UBM, and, more recently in the last decade, AS-OCT is a key component of evaluation of a patient in angle closure, especially one with a complex medical and ocular history.

Keywords: Pseudophakic glaucoma; Pupillary block; Secondary angle closure.

Publication types

Case Reports

Grants and funding

K12 EY024225/EY/NEI NIH HHS/United States