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Glaucoma from Pupillary Block in Aphakia

Glaucoma from Pupillary Block in Aphakia Abstract In 1946 Chandler and Johnson1 described a form of glaucoma due to pupillary block in aphakic eyes and eyes with dislocated lenses. Pupillary block in aphakic eyes was discussed by me in the symposium on cataract extraction at the American Academy of Ophthalmology in 1954,2 in the New Orleans symposium in 1956,3 by Shaffer in 1954,4 and by Sugar5 in 1958. In the years since the first report many neglected cases of pupillary block with glaucoma have been seen by the writer. In a recent period 4 eyes were observed which were badly damaged or blind from this form of glaucoma. It seemed therefore worthwhile to discuss the subject again. Mechanism After intracapsular extraction, postoperative iritis may cause complete posterior synechias of iris to intact hyaloid membrane. Such adhesion is greatly favored by a flat anterior chamber associated with choroidal separation. When the anterior chamber is References 1. Chandler, P. A., and Johnson, C. C.: A Neglected Cause for Secondary Glaucoma in Eyes in Which the Lens is Absent or Subluxated , Arch. Ophthal. 37:740, 1947.Crossref 2. Chandler, P. A.: Symposium: Cataract Extraction; Complications After Cataract Extraction: Clinical Aspects , Trans. Amer. Acad. Ophthal. 58:382, 1954. 3. Symposium on Diseases and Surgery of the Lens , edited by G. M. Haik, St. Louis, The C. V. Mosby Company, 1957, p. 150. 4. Shaffer, R. N.: The Role of Vitreous Detachment in Aphakic and Malignant Glaucoma , Trans. Amer. Acad. Ophthal. 58:217, 1954. 5. Sugar, H. S.: Pupillary Block in Aphakic Eyes , Amer. J. Ophthal. 46:831, 1958. 6. Weisel, J., and Swan, K. C.: Mydriatic Treatment of Shallow Chamber After Cataract Extraction , A.M.A. Arch. Ophthal. 58:126, 1957.Crossref 7. Swan, K. C.: Basal Iridectomy for Prevention and Treatment of Persistent Shallow Chamber After Cataract Extraction, Eye Digest, The Watson Gailey Eye Foundation, January, 1958. 8. Curran, E. J.: New Operation for Glaucoma Involving a New Principle in the Etiology and Treatment of Chronic Primary Glaucoma , Arch. Ophthal. 49:131, 1920. 9. Chandler, P. A.: Narrow-Angle Glaucoma , A.M.A. Arch. Ophthal. 47:695, 1952.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Glaucoma from Pupillary Block in Aphakia

Archives of Ophthalmology , Volume 67 (1) – Jan 1, 1962

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1962.00960020016004
Publisher site
See Article on Publisher Site

Abstract

Abstract In 1946 Chandler and Johnson1 described a form of glaucoma due to pupillary block in aphakic eyes and eyes with dislocated lenses. Pupillary block in aphakic eyes was discussed by me in the symposium on cataract extraction at the American Academy of Ophthalmology in 1954,2 in the New Orleans symposium in 1956,3 by Shaffer in 1954,4 and by Sugar5 in 1958. In the years since the first report many neglected cases of pupillary block with glaucoma have been seen by the writer. In a recent period 4 eyes were observed which were badly damaged or blind from this form of glaucoma. It seemed therefore worthwhile to discuss the subject again. Mechanism After intracapsular extraction, postoperative iritis may cause complete posterior synechias of iris to intact hyaloid membrane. Such adhesion is greatly favored by a flat anterior chamber associated with choroidal separation. When the anterior chamber is References 1. Chandler, P. A., and Johnson, C. C.: A Neglected Cause for Secondary Glaucoma in Eyes in Which the Lens is Absent or Subluxated , Arch. Ophthal. 37:740, 1947.Crossref 2. Chandler, P. A.: Symposium: Cataract Extraction; Complications After Cataract Extraction: Clinical Aspects , Trans. Amer. Acad. Ophthal. 58:382, 1954. 3. Symposium on Diseases and Surgery of the Lens , edited by G. M. Haik, St. Louis, The C. V. Mosby Company, 1957, p. 150. 4. Shaffer, R. N.: The Role of Vitreous Detachment in Aphakic and Malignant Glaucoma , Trans. Amer. Acad. Ophthal. 58:217, 1954. 5. Sugar, H. S.: Pupillary Block in Aphakic Eyes , Amer. J. Ophthal. 46:831, 1958. 6. Weisel, J., and Swan, K. C.: Mydriatic Treatment of Shallow Chamber After Cataract Extraction , A.M.A. Arch. Ophthal. 58:126, 1957.Crossref 7. Swan, K. C.: Basal Iridectomy for Prevention and Treatment of Persistent Shallow Chamber After Cataract Extraction, Eye Digest, The Watson Gailey Eye Foundation, January, 1958. 8. Curran, E. J.: New Operation for Glaucoma Involving a New Principle in the Etiology and Treatment of Chronic Primary Glaucoma , Arch. Ophthal. 49:131, 1920. 9. Chandler, P. A.: Narrow-Angle Glaucoma , A.M.A. Arch. Ophthal. 47:695, 1952.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jan 1, 1962

References