Iatrogenic lens rupture after a neodymium: yttrium aluminum garnet laser iridotomy attempt

During the past decade, laser iridotomy has replaced surgery as first-line treatment in angle-closure glaucoma. Its simplicity, fewer and less severe complications, and speedy recovery was responsible for this. Usually, the more common side effects of laser iridotomy are either preventable or easily treatable. Reported lens changes are limited to localized nonprogressive opacities and an isolated case of lens dislocation. We report the rare instance of lens rupture after a neodymium: yttrium aluminum garnet laser iridotomy attempt. Proper patient selection, good techniques with cautious use of laser energy, and meticulous attention to detail should prevent this complication.