Advanced glaucoma following Nd:YAG capsulotomy: a case report

BMC Ophthalmol. 2018 Sep 14;18(Suppl 1):229. doi: 10.1186/s12886-018-0852-9.

Abstract

Background: We present a case of aphakic pupil block caused by vitreous prolapse into the anterior chamber following Nd:YAG capsulotomy.

Case presentation: This resulted in advanced glaucoma in a young patient, which presented a significant clinical management challenge.

Conclusions: Ultimately, at the time of writing, her intraocular pressure and uveitis were well controlled, however the long-term outcome remains uncertain, given the uncompromising natural history of her complicated ocular condition.

Keywords: Aphakia; Pupil block; Secondary glaucoma; YAG capsulotomy.

Publication types

  • Case Reports

MeSH terms

  • Antihypertensive Agents / therapeutic use
  • Capsule Opacification / surgery*
  • Combined Modality Therapy
  • Dexamethasone / therapeutic use
  • Female
  • Glaucoma, Open-Angle / etiology*
  • Glaucoma, Open-Angle / physiopathology
  • Glaucoma, Open-Angle / therapy
  • Glucocorticoids / therapeutic use
  • Humans
  • Intraocular Pressure / physiology
  • Laser Coagulation
  • Lasers, Semiconductor
  • Lasers, Solid-State / adverse effects*
  • Posterior Capsulotomy / adverse effects*
  • Pupil Disorders / etiology*
  • Visual Field Tests
  • Visual Fields
  • Young Adult

Substances

  • Antihypertensive Agents
  • Glucocorticoids
  • Dexamethasone