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CASE REPORT
Year : 2020  |  Volume : 58  |  Issue : 2  |  Page : 112-114

Late-onset single-piece foldable intraocular lens-induced pigmentary glaucoma: A new management strategy


Department of Glaucoma, Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Puducherry, India

Correspondence Address:
Dr. Srinivasan Kavitha
Aravind Eye Hospital and Post-Graduate Institute of Ophthalmology, Cuddalore Main Road, Thavalakuppam, Puducherry - 605 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_119_19

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Phacoemulsification with foldable intraocular lens (IOL) implantation is the standard of care offered for a cataract. Single-piece acrylic (SPA) IOL is designed to be placed in the bag and not suitable for sulcus implantation. If implanted in sulcus, it can lead to pigmentary glaucoma, due to constant friction with the iris, leading to pigment release, which blocks trabecular meshwork. We report the case of pigment dispersion glaucoma due to sulcus-implanted SPA presented 3 years after cataract surgery. It was managed successfully by an IOL exchange where we could implant a foldable three piece IOL into the intact capsular bag.


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