Lens Particle Glaucoma with Intraocular Foreign Body.

Hwang, Young Hoon; Kim, Dong Su; Moon, Sang Woong; Lee, Dae Young

doi:2007.48.12.1723

J Korean Ophthalmol Soc > Volume 48(12); 2007 > Article

Case Report

Journal of the Korean Ophthalmological Society 2007;48(12):1723-1727.
DOI: https://doi.org/10.3341/jkos.2007.48.12.1723 Published online December 31, 2007.

Lens Particle Glaucoma with Intraocular Foreign Body.

Young Hoon Hwang, Dong Su Kim, Sang Woong Moon, Dae Young Lee

¹Department of Ophthalmology, College of Medicine, Inje University, Seoul Paik Hospital, Seoul, Korea.
²Department of Ophthalmology, Gachon University of Medicine and Science, Gil Medical Center, Incheon, Korea. leedy91@yahoo.co.kr

안구내 이물이 발견된 급성수정체녹내장

황영훈¹,김동수¹,문상웅¹,이대영²

Department of Ophthalmology, College of Medicine, Inje University, Seoul Paik Hospital¹, Seoul, Korea Department of Ophthalmology, Gachon University of Medicine and Science, Gil Medical Center², Incheon, Korea

Correspondence: Dae Young Lee, M.D.

Abstract

PURPOSE
To report a case of acute lens particle glaucoma with an intraocular foreign body that persisted for a long duration. CASE SUMMARY: A 47-year-old man visited our clinic due to severe pain in his right eye. His uncorrected visual acuity was hand movement, and intraocular pressure (IOP) measured by a Goldmann applanation tonometer was 76 mmHg in the right eye. Severe corneal edema and floating lens materials in the anterior chamber were revealed by slit-lamp examination. An ultrasonography scan showed that the lens had dislocated into the vitreous cavity and revealed vitreous opacities. To remove lens materials and control IOP, anterior chamber irrigation and trans pars plana vitrectomy with lensectomy were performed under local anesthesia. During the operation, an intraocular foreign body was removed from the anterior chamber. Dislocated lens particles were removed by vitrectomy. After the operation, his best corrected visual acuity was 1.0, and intraocular pressure was 12 mmHg in the right eye. CONCLUSIONS: Close observation is needed in cases with lens particle glaucoma, because a long-persisting intraocular foreign body can be accompanied by lens particle glaucoma.

Key Words: Intraocular foreign body;Lens particle glaucoma