A Case of Acute Angle Closure Caused by Dislocation of Accommodative Intraocular Lens.

Hwang, Hyun Ji; Hwang, Young Hoon; Lee, Jung Jin; Kim, Byoung Yeop

doi:2016.57.9.1493

J Korean Ophthalmol Soc > Volume 57(9); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(9):1493-1497.
DOI: https://doi.org/10.3341/jkos.2016.57.9.1493 Published online September 15, 2016.

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®