Acute Angle-Closure Glaucoma Secondary to a Phakic Intraocular Lens, an Ophthalmic Emergency
General Material Designation
[Article]
First Statement of Responsibility
Frost, Arian; Ritter, Daniel J.; Trotter, Alana; Pulia, Michael S.
SUMMARY OR ABSTRACT
Text of Note
Implantable collamer lenses (ICL) are phakic (natural lens remains in place) lenses that were first developed in the 1990s for correction of high myopia. The effectiveness and safety of ICLs are making them an increasingly popular option for vision correction in the myopic patient, competing with traditional options like glasses, contacts, and procedures such as laser-assisted in situ keratomileusis. Although generally safe, due to the position of the phakic ICL in the eye, pupillary block remains a rare but vision-threatening complication of ICL implantation. Pupillary block caused by phakic ICL is a serious complication that requires urgent recognition and intervention and is poorly described in emergency medicine literature. We describe a case of pupillary block five years after ICL implantation that was refractory to standard medical therapy, highlighting the importance of early diagnosis and referral for more definitive therapy.
SET
Date of Publication
2019
Title
Clinical Practice and Cases in Emergency Medicine
Volume Number
3/2
PERSONAL NAME - PRIMARY RESPONSIBILITY
Entry Element
Frost, Arian; Ritter, Daniel J.; Trotter, Alana; Pulia, Michael S.