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Angle-closure glaucoma secondary to inflammatory capsular block syndrome following routine cataract surgery.

Identifieur interne : 001D85 ( Main/Merge ); précédent : 001D84; suivant : 001D86

Angle-closure glaucoma secondary to inflammatory capsular block syndrome following routine cataract surgery.

Auteurs : Sathish Srinivasan [Royaume-Uni] ; Saileela Hanumanthu ; Mohan Varikkara

Source :

RBID : pubmed:23506925

English descriptors

Abstract

A 78-year-old man had uneventful cataract surgery with implantation of a 1-piece plate-haptic intraocular lens in the capsular bag. Seven weeks later, he presented as an emergency with intense fibrinous uveitis and increased intraocular pressure (IOP). Examination revealed an inflammatory capsular block syndrome (CBS) causing fibrinous anterior uveitis and secondary angle-closure glaucoma. The glaucoma resolved and the patient's vision improved following neodymium:YAG laser posterior capsulotomy. Inflammatory CBS should be considered in pseudophakic patients presenting with fibrinous anterior uveitis, increased IOP, and secondary angle closure.

DOI: 10.1016/j.jcrs.2012.11.034
PubMed: 23506925

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Le document en format XML

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<nlm:affiliation>Department of Ophthalmology, University Hospital Ayr, Ayr, Scotland, United Kingdom. sathish.srinivasan@gmail.com</nlm:affiliation>
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<wicri:regionArea>Department of Ophthalmology, University Hospital Ayr, Ayr, Scotland</wicri:regionArea>
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<name sortKey="Hanumanthu, Saileela" sort="Hanumanthu, Saileela" uniqKey="Hanumanthu S" first="Saileela" last="Hanumanthu">Saileela Hanumanthu</name>
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<title level="j">Journal of cataract and refractive surgery</title>
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<term>Aged</term>
<term>Capsulorhexis</term>
<term>Glaucoma, Angle-Closure (etiology)</term>
<term>Gonioscopy</term>
<term>Humans</term>
<term>Intraocular Pressure</term>
<term>Laser Therapy</term>
<term>Lasers, Solid-State (therapeutic use)</term>
<term>Lens Capsule, Crystalline (pathology)</term>
<term>Lens Capsule, Crystalline (surgery)</term>
<term>Lens Diseases (complications)</term>
<term>Lens Diseases (surgery)</term>
<term>Lens Implantation, Intraocular</term>
<term>Male</term>
<term>Phacoemulsification</term>
<term>Tomography, Optical Coherence</term>
<term>Tonometry, Ocular</term>
<term>Uveitis, Anterior (etiology)</term>
<term>Visual Acuity (physiology)</term>
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<term>Lens Diseases</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Glaucoma, Angle-Closure</term>
<term>Uveitis, Anterior</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lens Capsule, Crystalline</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Visual Acuity</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lens Capsule, Crystalline</term>
<term>Lens Diseases</term>
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<keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en">
<term>Lasers, Solid-State</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Capsulorhexis</term>
<term>Gonioscopy</term>
<term>Humans</term>
<term>Intraocular Pressure</term>
<term>Laser Therapy</term>
<term>Lens Implantation, Intraocular</term>
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<div type="abstract" xml:lang="en">A 78-year-old man had uneventful cataract surgery with implantation of a 1-piece plate-haptic intraocular lens in the capsular bag. Seven weeks later, he presented as an emergency with intense fibrinous uveitis and increased intraocular pressure (IOP). Examination revealed an inflammatory capsular block syndrome (CBS) causing fibrinous anterior uveitis and secondary angle-closure glaucoma. The glaucoma resolved and the patient's vision improved following neodymium:YAG laser posterior capsulotomy. Inflammatory CBS should be considered in pseudophakic patients presenting with fibrinous anterior uveitis, increased IOP, and secondary angle closure.</div>
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