Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Novel maneuver for the alleviation of pseudophakic optic capture and consequent pupillary block

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Session Details

Session Title: Presented Poster Session: Pre/post-op special cases

Session Date/Time: Sunday 11/09/2016 | 15:00-16:30

Paper Time: 15:20

Venue: Poster Village: Pod 1

First Author: : N.Shilova ISRAEL

Co Author(s): :    E. Livny   A. Sternfeld   I. Bahar        

Abstract Details

Purpose:

To report a novel, non-invasive maneuver for the management of a case of pupillary block due to pseudophakic optic capture

Setting:

Ophthalmology department, Rabin medical center, Petach-tikva, Israel; ophthalmology department, European medical center, Moscow, Russia

Methods:

Description of a case report and a novel maneuver used for the alleviation of pseudophakic optic capture and consequent pupillary block.

Results:

An 80 year old patient admitted to our tertiary ophthalmic emergency service due to severe ocular pain and deterioration of visual acuity. Her examination revealed a rare presentation of extremely elevated intraocular pressure (76 mmHg) due to pseudophakic optic capture and consequent pupillary block. The anterior chamber was completely absent. The patient underwent a reduction of the IOL optic into the posterior chamber by pressing with a glass rod on the cornea at the area corresponding to the optic-haptic junction. This immediately established a shallow anterior chamber that allowed the performance of a Nd:YaG peripheral iridotomy which in turn resolved the pupillary block and the intraocular pressure dropped to a normal value.

Conclusions:

pupillary block due to pseudophakic optic capture is a rare presentation with potentially devastating consequences, which necessitates careful risk management process. A novel, simple and non-invasive maneuver that successfully resolved the pseudophakic pupillary block is presented.

Financial Disclosure:

NONE

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