Diagnosis of pupillary block glaucoma after removal of congenital cataracts with intraoperative ultrasound biomicroscopy: a case report

BMC Ophthalmology

Case Report

Xing-Huai Sun¹  Yi Lu¹  Fan-Rong Meng¹  Ke-Ke Zhang¹  Xiang-Jia Zhu¹  Wen-Wen He¹ 

[1] Department of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan University, 83 Fenyang Road, 200031, Shanghai, China;Key Laboratory of Myopia, Ministry of Health, 83 Fenyang Road, 200031, Shanghai, China;Key Laboratory of Visual Impairment and Restoration of Shanghai, Fudan University, 83 Fenyang Road, 200031, Shanghai, China;

关键词: Pupillary block glaucoma;    Aphakic glaucoma;    Ultrasound biomicroscopy;    Congenital cataract;    Vitreous herniation;   

DOI  :  10.1186/s12886-016-0238-9

 received in 2015-10-09, accepted in 2016-05-11,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundAphakic glaucoma is a common complication after congenital cataract extraction, especially in those who have surgery during infancy. This case report describes a case of bilateral pupillary block glaucoma diagnosed with intraoperative ultrasound biomicroscopy (UBM) after removal of congenital cataract.Case presentationWe present a case report of a 9-month-old infant with bilateral corneal enlargement and ocular hypertension after uneventful removal of congenital cataracts. Initial and follow-up examination findings were reviewed. The infant was suspected to have developmental glaucoma and schemed to have bilateral trabeculotomy until pupillary obstruction by vitreous herniation and angle closure with iris bombé were detected by intraoperative UBM. Anterior vitrectomy and goniosynechialysis were then performed as treatment.ConclusionPupillary block glaucoma is a rare type of infantile aphakic glaucoma. Application of intraoperative UBM can assist in the differential diagnosis of aphakic glaucoma in infants.

【 授权许可】

CC BY   
© Zhu et al. 2016