Fibrin Membrane Induced Pupillary Block Glaucoma Treated With Nd:YAG Laser After Uncomplicated Cataract Surgery

Year 2023, , 58 - 61, 31.01.2023

Fatma Sümer

https://doi.org/10.47482/acmr.1148751

Abstract

Background: Fibrin pupillary-block glaucoma is a rare complication after uneventful cataract surgery. We aimed to share our treatment approach with Nd: YAG laser fibrin membranotomy.

Case presentation: A 68-year-old male patient without any systemic comorbidity developed acute intraocular pressure elevation with a shallow anterior chamber 7 days after uneventful cataract surgery. Visual acuity (VA) of the right eye was 0.1 and IOP was 48 mmHg. There was a fibrin membrane that completely closed the pupillary space. It was observed that there was 360-degree iridocorneal contact in the periphery. An Nd: YAG laser was applied to create an opening at the upper edge of the fibrin membrane. A rapid deepening of the anterior chamber was observed immediately after perforation of the membrane. After deepening of the anterior chamber, permanent peripheral iridotomy was opened with argon-Nd: YAG.

Conclusion: Although the fibrin membrane is seen after uneventful cataract surgeries usually suggests which inflammation is triggered, these results can sometimes occur even before the disease is present.

Keywords

fibrin membrane, pupillary block glaucoma, cataract, yag laser

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