Two Cases of Intraocular Lens Pupillary Optic Capture Treated with Argon Laser Iridotomy. |
Minsu Baek, Yuli Park, Kyong Jin Cho |
Department of Ophthalmology, Dankook University College of Medicine, Cheonan, Korea. perfectcure@hanmail.net |
인공수정체공막고정술 이후 발생한 인공수정체 동공끼임환자에서 레이저홍채절개술의 치료 2예 |
백민수⋅박율리⋅조경진 |
단국대학교 의과대학 안과학교실 |
Correspondence:
Kyong Jin Cho, Email: perfectcure@hanmail.net |
Received: 28 June 2018 • Revised: 5 October 2018 • Accepted: 26 March 2019 |
Abstract |
PURPOSE We report two cases of intraocular lens (IOL) pupillary optic capture following IOL scleral fixation treated with argon laser iridotomy. CASE SUMMARY: (Case 1) A 69-year-old man presented with suddenly decreased visual acuity of the left eye. The best-corrected visual acuity was finger count (FC) 30 cm in the left eye. Slit lamp examination revealed subluxation of the left eye IOL. An IOL scleral fixation and anterior vitrectomy were performed and no specific findings were observed. During the follow-up period, pupillary optic capture was repeated without specific causes, such as trauma, or IOL decentration thus, argon laser iridotomy was performed. (Case 2) A 77-year-old man presented with a 3-day history of congestion of the left eye and decreased visual acuity. Best-corrected visual acuity was 0.4 logarithm of the minimum angle of resolution (logMAR) in the left eye. Slit lamp examination revealed subluxation of the left eye IOL. An IOL scleral fixation and anterior vitrectomy were performed, and no specific findings were observed. During the follow-up period, pupillary optic capture was found, and IOL repositioning and argon laser iridotomy were performed. CONCLUSIONS: Laser iridotomy can be used to prevent recurrence of pupillary optic capture in eyes with IOL scleral fixation without decentration or distortion. |
Key Words:
Argon laser iridotomy;Intraocular lens pupillary optic capture;Intraocular lens scleral fixation |