Anterior segment imaging in the management of postoperative fibrin pupillary-block glaucoma.


Journal Article

Postoperative fibrin pupillary-block glaucoma, an uncommon complication of intraocular surgery, develops when an inflammatory fibrin membrane occludes the pupil, resulting in peripheral angle closure. We present a series of 4 patients with this condition and describe the role of anterior segment optical coherence tomography and ultrasound biomicroscopy in distinguishing fibrin pupillary-block glaucoma from other forms of postoperative acute glaucoma. Specific to this condition is the presence of a fibrin membrane across the pupil and accumulation of aqueous in the posterior chamber, as would be expected in pupil block, but with a clear separation between the intraocular lens and the iris. The possible risk factors are discussed and various treatment modalities reviewed.

Full Text

Cited Authors

  • Khor, W-B; Perera, S; Jap, A; Ho, C-L; Hoh, S-T

Published Date

  • July 2009

Published In

Volume / Issue

  • 35 / 7

Start / End Page

  • 1307 - 1312

PubMed ID

  • 19545824

Pubmed Central ID

  • 19545824

Electronic International Standard Serial Number (EISSN)

  • 1873-4502

International Standard Serial Number (ISSN)

  • 0886-3350

Digital Object Identifier (DOI)

  • 10.1016/j.jcrs.2009.02.034


  • eng