Journal of Cataract & Refractive Surgery
Volume 30, Issue 10 , Pages 2219-2222, October 2004

Secondary pigmentary glaucoma associated with piggyback intraocular lens implantation☆☆☆

  • Shirley H.L. Chang, MD

      Affiliations

    • Corresponding Author InformationReprint requests to Shirley H.L. Chang, MD, Chang-Gung Memorial Hospital, Department of Ophthalmology, 5 Fu-Hsing Street, Kuei-Shan Hsiang, Taoyuan 333, Taiwan.
    • ,
  • Gerald Lim, MD

Chang Gung Memorial Hospital, Linkou, Taiwan

Accepted 11 March 2004.

Abstract 

A 51 year-old man developed bilateral pigmentary glaucoma with uncontrolled intraocular pressure (IOP) and signs of pigmentary dispersion syndrome after piggyback intraocular lens (IOL) implantation. Cataract surgery had been performed with in-the-bag implantation of poly(methyl methacrylate) IOLs in both eyes. Increasing myopia was subsequently corrected with implantation of an AcrySof® IOL (Alcon Laboratories) in the ciliary sulcus of each eye. After the second implantation, the IOP was unresponsive to antiglaucoma medications, the visual field was damaged, and the visual acuity decreased. Ultrasound biomicroscopy showed that the haptics and the sharp edge of the IOL were chafing the posterior surface of the iris. After the IOL in the sulcus was removed, the IOP was stabilized by medications. This case highlights the importance of the IOL choice for sulcus implantation to avoid the complications of pigmentary dispersion syndrome.

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☆ Presented at the annual meeting of the Ophthalmologic Society of Taipei, Taiwan, December 2002.

☆☆ Neither author has a financial or proprietary interest in any material or method mentioned.

PII: S0886-3350(04)00400-6

doi:10.1016/j.jcrs.2004.03.034

Journal of Cataract & Refractive Surgery
Volume 30, Issue 10 , Pages 2219-2222, October 2004

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