Krawitz Brian D, Misra Poonam, Bearelly Srilaxmi, Al-Aswad Lama A
From the Department of Ophthalmology, Columbia University Irving Medical Center (Krawitz, Bearelly), Department of Ophthalmology, New York University Robert Grossman School of Medicine, NYU Langone Health (Misra, Al-Aswad), New York, New York, USA.
J Cataract Refract Surg. 2020 Dec;46(12):e48-e51. doi: 10.1097/j.jcrs.0000000000000442.
Two patients presented with angle closure many years after cataract extraction. The first patient presented with acute intraocular pressure (IOP) elevation and closed iridocorneal angle that resolved with a laser iridotomy. The second patient presented with an insidious course of high IOP and progressive narrowing of the iridocorneal angle, ultimately requiring a pars plana vitrectomy and glaucoma valve implant, with subsequent normalization of pressure and angle anatomy. Although rare, angle closure in eyes with posterior chamber intraocular lenses is a dangerous complication that can occur many years after cataract extraction. Retained lens fragments, and perhaps repeated intravitreal injections, might place susceptible patients at risk.
