Secondary Glaucoma and Single-Piece Acrylic IOL Implantation in the Ciliary Sulcus
نویسندگان
چکیده
O pen-angle glaucomas are typically classified as either primary or secondary. Primary open-angle glaucoma is a diagnosis of exclusion, characterized by an open anterior chamber angle and lack of a secondary, contributing disease process. Secondary glaucomas are related to an underlying disease that causes increased resistance to trabecular meshwork out flow and subsequent intraocular pressure rise. Examples of secondary glaucomas include the pigmentary, phacolytic, steroid-induced, exfoliation, neovascular, and angle-recession types. An important cause of pigmentary glaucoma relates to pigment release from the posterior iris surface due to direct contact with an improperly positioned IOL in the ciliary sulcus. This article highlights the nature of this process and includes recommendations for prevention and management.
منابع مشابه
Sulcus placement of single-piece acrylic intraocular lenses.
Single-piece acrylic (SPA) intraocular lenses (IOLs) have proven to be excellent posterior chamber IOLs (PC IOLs) for placement in the lens capsular bag. However, surgical complications such as posterior capsule tear or rupture may preclude placement of an IOL in the capsular bag. When capsular bag fixation is not possible, placement of a SPA IOL in the ciliary sulcus is problematic. This raise...
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BACKGROUND To review the long-term outcomes of eyes with secondary pigmentary glaucoma associated with the implantation of foldable intraocular lenses (IOL) in the ciliary sulcus. METHODS The study retrospectively reviewed a series of cases who developed secondary pigmentary glaucoma after cataract operations. Data were collected from cases that were referred between 2002 and 2011. RESULTS ...
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BACKGROUND Implantation of a single-piece-acrylic intraocular lens (SPA-IOL) in the ciliary sulcus during phacoemulsification complicated with posterior capsule tear (PCT) may be associated with severe complications. The purpose of this study was to report the efficacy and safety of sulcus implantation of a SPA-IOL, designed for both in-the-bag and sulcus positioning. METHODS A prospective cr...
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