- Pupillary block glaucoma may commonly occur secondary to:
- Aphakia or pseudophakia with either anterior vitreous displacement,
dislocated anterior or posterior intraocular lens, or pupillary
capture by intraocular lens implant
- Ectopia lentis
- Phacomorphic glaucoma due to cataractous lens intumesence
- Management:
- Anti-glaucoma therapy (i.e. aqueous suppressant therapy) initially
- Miotic drops may be helpful to eliminate the pupillary block
/ iris bombe
- Surgical therapy often needed (procedures may include laser
iridotomy, laser iridoplasty, surgical iridectomy, or glaucoma
filtering surgery)
|