A Case of Acute Angle Closure Caused by Dislocation of Accommodative Intraocular Lens. |
Hyun Ji Hwang, Young Hoon Hwang, Jung Jin Lee, Byoung Yeop Kim |
1Myung-Gok Eye Research Institute, Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. brainh@hanmail.net 2Seoul Ire Eye Clinic, Seoul, Korea. |
조절성 인공수정체 탈구에 의한 급성 폐쇄각 증례 |
황현지1⋅황영훈1⋅이정진2⋅김병엽1 |
건양대학교 의과대학 김안과병원 안과학교실 명곡안연구소1, 서울이레안과의원2 |
Correspondence:
Young Hoon Hwang, Email: brainh@hanmail.net |
Received: 7 April 2016 • Revised: 5 July 2016 • Accepted: 19 August 2016 |
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. |
Key Words:
Accommodative intraocular lens;Angle closure;Cataract;Glaucoma;WIOL-CF® |
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