
Recurrent Occlusion of Laser Iridotomy Sites After Posterior Chamber Phakic IOL Implantation
- In Ki Park Je Myung Lee Yeoun Sook Chun
- 대한안과학회
- The Korean Journal of Ophthalmology
- Vol.22 No.2
- 등재여부 : KCI등재
- 2008.06
- 130 - 132 (3 pages)
We report a case of recurrent occlusion of laser iridotomy (LI) sites after a Visian ICL (Implantable contac lens version 4, Staar Surgical AG, Nidau, Switzerland) implantation. A 45‐year‐old woman had bilateral ICL implantation after placement of two peripheral LI sites in each eye to prevent pupillary block. At one month after the operation, severe narrowing or occlusion of four LI sites occurred. After this, although she received four additional LIs at postoperative months 1, 6, 9 and 10 in both eyes, the narrowing or occlusion recurred. Mild chronic anterior chamber inflammation was observed intermittently throughout the follow‐up period. We performed clear lens extraction in both eyes (at postoperative month 11 in the left eye and month 26 in the right eye) due to recurrent occlusion of the LI sites and excess trabecular meshwork pigment deposition presumably caused by the four repeated LIs. Recurrent obstruction of LI sites can occur after ICL implantation. These problems were unresolvable despite four repeated laser iridotomies. The risks associated with anterior uveitis must be considered when planning an ICL implantation. Korean Journal of Ophthalmology 22(2):130-132, 2008
Case Report
Discussion
References