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KMID : 0360220190600080797
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Journal of the Korean Ophthalmological Society
2019 Volume.60 No. 8 p.797 ~ p.801
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Pseudophakic Pupillary Block after Toxic Anterior Segment Syndrome
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Min Chan-Hong
Kwon Jun-Ki
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Abstract
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Purpose: We report a case of pseudophakic pupillary block after toxic anterior segment syndrome (TASS).
Case summary: An 84-year-old woman underwent phacoemulsification and intraocular lens implantation in the posterior chamber. Six days after surgery, anterior chamber inflammation was seen. Twenty-five days after surgery, a sudden increase in intraocular pressure (IOP) associated with pupillary block was observed. Despite the use of IOP-lowering medication, the IOP was not controlled. Peripheral laser iridotomy failed. After surgical peripheral iridectomy, IOP decreased significantly and was controlled.
Conclusions: Despite the rarity of TASS combined with pseudophakic pupillary block, clinicians must be aware of this condition in patients showing prolonged inflammatory state and IOP elevation after surgery.
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KEYWORD
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Iridectomy, Pseudophakia, Toxic anterior segment syndrome
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