PMC5848348_01
Pseudophakic pupillary block glaucoma, initial presentation (see text)
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F1
In the emergency room, the examination revealed [Figure 1] right eye, Vision- PL+, PR accurate in all quadrants, eyelids-swollen, conjunctiva-chemosed and congested, cornea-corneal edema, circumcorneal congestion, pupil-small (about 2.5 mm), not reacting to light, white reflex in the whole pupillary area seen, anterior chamber-flare and cells-mild, a white transverse band in the mid-lower periphery seen.
Pseudophakic pupillary block glaucoma, ultrasonogram. (a) Shows chain of low amplitude spikes in A-scan due to sterile vitritis (see text). (b) Shows a bright anterior echo from intraocular lens (short arrow) followed by multiple reverberations (long arrow) in B-scan
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F2
Pseudophakic pupillary block glaucoma: White pupillary membrane unearthed on mydriasis, still attached to iris superiorly but relieved inferiorly
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F3
On the 6th postadmission day, vision improved to finger counting four feet, PR accurate in all quadrants, pupil was mid-dilated, a pupillary membrane was now exposed on the anterior surface of the IOL [Figures 3 and 4].
Pseudophakic pupillary block glaucoma: Slit lamp section shows pupillary membrane and superior iris bombe
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F4
On the 6th postadmission day, vision improved to finger counting four feet, PR accurate in all quadrants, pupil was mid-dilated, a pupillary membrane was now exposed on the anterior surface of the IOL [Figures 3 and 4].