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Pupillary block glaucoma due to residual perfluoro-decalin
Y Alster1, Y Ben-Nun, A Loewenstein
1Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv, Israel.
Ophthalmic Surgery and Lasers
|May 1, 1996
Summary
Perfluorocarbon liquid residues can cause pupillary block glaucoma after eye surgery. This unique case resolved with medication, highlighting the need to consider this complication during pars plana vitrectomy.
Area of Science:
- Ophthalmology
- Surgical Complications
- Glaucoma Research
Background:
- Perfluorocarbon liquids are essential in vitreoretinal surgery but require complete removal.
- Incomplete removal can lead to serious postoperative complications.
- Previous reports detail complications from residual perfluorocarbon liquids.
Observation:
- A unique case of pupillary block glaucoma occurred due to perfluoro-decalin residue.
- The residue blocked an inferior iris coloboma (surgical defect).
- This complication arose after pars plana vitrectomy.
Findings:
- The perfluoro-decalin residue spontaneously dissolved with medical management.
- Antiglaucoma treatment was effective, avoiding surgical intervention.
- The case highlights a specific risk in eyes with inferior iris defects.
Implications:
- Ophthalmologists must consider pupillary block glaucoma from perfluorocarbon residues.
- This risk is particularly relevant when perfluorocarbon liquids are used during pars plana vitrectomy.
- Vigilance is needed for patients with iris colobomas, especially inferior ones.