Pseudophakic Pupillary Block after Toxic Anterior Segment Syndrome. |
Chan Hong Min, Junki Kwon |
Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jkwon0620@naver.com |
백내장수술 후 독성 전안부 증후군으로 인한 동공차단의 증례 |
민찬홍 · 권준기 |
울산대학교 의과대학 서울아산병원 안과학교실 |
Correspondence:
Junki Kwon, Email: jkwon0620@naver.com |
Received: 27 December 2018 • Revised: 14 January 2019 • Accepted: 17 July 2019 |
Abstract |
PURPOSE We report a case of pseudophakic pupillary block after toxic anterior segment syndrome (TASS). CASE SUMMARY: An 84-year-old woman underwent phacoemulsification and intraocular lens implantation in the posterior chamber. Six days after surgery, anterior chamber inflammation was seen. Twenty-five days after surgery, a sudden increase in intraocular pressure (IOP) associated with pupillary block was observed. Despite the use of IOP-lowering medication, the IOP was not controlled. Peripheral laser iridotomy failed. After surgical peripheral iridectomy, IOP decreased significantly and was controlled. CONCLUSIONS: Despite the rarity of TASS combined with pseudophakic pupillary block, clinicians must be aware of this condition in patients showing prolonged inflammatory state and IOP elevation after surgery. |
Key Words:
Iridectomy;Pseudophakia;Toxic anterior segment syndrome |