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KMID : 0360220160570091493
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Journal of the Korean Ophthalmological Society
2016 Volume.57 No. 9 p.1493 ~ p.1497
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A Case of Acute Angle Closure Caused by Dislocation of Accommodative Intraocular Lens
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Hwang Hyun-Ji
Hwang Yoon-Ha
Lee Jung-Jin
Kim Byoung-Yeop
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Abstract
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Purpose: To report a case of acute angle closure after cataract surgery using an accommodative intraocular lens (IOL), WIOL-CFⓡ (GELMED, Praha, Czech).
Case summary: A 46-year-old male patient underwent phacoemulsification and implantation of WIOL-CFⓡ into the capsular bag. Seven months after the surgery, a sudden increase in intraocular pressure (IOP) associated with angle closure was observed. Ultrabiomicroscopy revealed a dislocated WIOL-CFⓡ that was pushing the peripheral iris anteriorly. Despite the use of IOP-lowering medication and peripheral laser iridotomy, IOP was not controlled. After the use of cycloplegics, the angle was widened and IOP decreased; however, after nine days, the WIOL-CFⓡ was completely dislocated into the anterior chamber and so was removed.
Conclusions: When performing cataract surgery using WIOL-CFⓡ, a possibility of dislocation of IOL and subsequent angle closure should be considered.
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KEYWORD
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Accommodative intraocular lens, Angle closure, Cataract, Glaucoma, WIOL-CFⓡ
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