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Aphakic glaucoma.

H G Scheie, M Q Ewing

    Transactions of the Ophthalmological Societies of the United Kingdom
    |April 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Identifying the cause of aphakic glaucoma is crucial for effective treatment. Early and late forms have distinct causes, with pupillary block and angle closure being particularly challenging postoperative complications.

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    Area of Science:

    • Ophthalmology
    • Glaucoma Research
    • Surgical Complications

    Background:

    • Aphakic glaucoma, a serious postoperative complication, requires etiological determination for targeted treatment.
    • Early (within 6 weeks) and late (after 6 weeks) aphakic glaucoma have different underlying mechanisms.
    • Pupillary block and angle closure are significant challenges, often stemming from shallow anterior chambers post-surgery.

    Purpose of the Study:

    • To outline the various causes of aphakic glaucoma.
    • To differentiate between early and late-onset aphakic glaucoma.
    • To emphasize the importance of identifying the specific mechanism for appropriate management.

    Main Methods:

    • Review and classification of known etiological mechanisms for aphakic glaucoma.

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  • Categorization of causes into early and late postoperative onset.
  • Identification of common and challenging causes such as pupillary block and angle closure.

    • Main Results:

    • Aphakic glaucoma causes vary, including pupillary block, angle closure, inflammation, and epithelial downgrowth.
    • Shallow or empty anterior chambers post-surgery are linked to wound fistula and choroidal detachment, contributing to glaucoma.
    • Other causes include alpha-chymotrypsin, iris cysts, intraocular tumors, uveitis recurrence, and primary glaucoma.

    Conclusions:

    • Determining the specific cause of aphakic glaucoma is essential for successful treatment.
    • Prompt diagnosis and management of mechanisms like pupillary block and angle closure are critical.
    • Comprehensive evaluation is needed to rule out unrelated causes of pressure elevation.