Posters

Nd:YAG laser vitreolysis at the site of iridectomy for the treatment of aqueous misdirection after anterior chamber intraocular lens implantation.

Poster Details

First Author: G.Kontadakis USA

Co Author(s): S. Blazaki   O. Iliaki   M. Tsilimbaris              

Abstract Details

Purpose:

Aqueous misdirection has been reported as an uncommon complication following anterior chamber intraocular lens (AC IOL) implantation. This report presents a case that developed pupillary block and aqueous misdirection due to iridotomy blockage from vitreous humor in the anterior chamber.

Setting:

University Hospital of Heraklion, Department of Ophthalmology

Methods:

A 82-years-old female patient with cataract underwent phacoemulcification with AC-IOL implantation due to complete zonular dehiscence intraoperatively. Ten days postoperatively, she presented with 30mmHg intraocular pressure (IOP), iris bombe configuration and vitreous face prolapse to the anterior chamber through the iridectomy. Nd:Yag laser vitreolysis was performed at the site of the iridectomy.

Results:

The next day, IOP had decreased to 15mmHg, anterior chamber was deepened and iris resumed a normal shape. Six months post cataract surgery condition remains stable. No other postoperative complications were evident.

Conclusions:

Aqueous misdirection due to vitreous prolapse through iridectomy is a possible complication after AC-IOL implantation. This condition in our case was non-surgically managed with ND:Yag laser vitreolysis with excellent results.

Financial Disclosure:

None