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Pseudophakic Angle Closure Due to Vitreous Block Following Ureteroscopic Lithotripsy
Purit Petpiroon1, Yanin Suwan1, Chaiwat Teekhasaenee1
1Department of Ophthalmology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
International Medical Case Reports Journal
|February 4, 2021
Summary
Pseudophakic angle closure can occur due to vitreous block after ureteroscopic lithotripsy. Prompt treatment with medications, laser peripheral iridotomy, and vitrectomy can restore vision and control intraocular pressure.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Describes a case of pseudophakic angle closure.
- Occurred secondary to vitreous block post-ureteroscopic lithotripsy under general anesthesia.
Observation:
- A patient with prior lens subluxation and implantation presented with acute angle closure.
- Clinical examination revealed vitreous in the anterior chamber causing pupillary block.
Findings:
- Successful management involved antiglaucoma medications, laser peripheral iridotomy, and pars plana vitrectomy.
- The patient's vision improved and intraocular pressure normalized without medication.
Implications:
- Highlights the risk of vitreous block in pseudophakia, particularly with posterior capsule issues.
- Emphasizes the importance of intraoperative anterior vitrectomy and surgical iridectomy.
- Suggests general anesthesia may be a contributing factor in susceptible patients.
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