Hyaloid pupillary seclusion: Anterior hyaloidectomy in the retroiridian chamber. A novel technique for acute closed-angle glaucoma secondary to post-traumatic pupillary block due to herniation of the vitreous body with an intact hyaloid membrane

Andrés Germán  Alza

doi:10.70313/2718.7446.v18.n2.412

Authors

Andrés Germán Alza Clínica Privada de Ojos Dr. Enrique Alza. La Plata (Buenos Aires)

DOI:

https://doi.org/10.70313/2718.7446.v18.n2.412

Keywords:

acute glaucoma, anterior lens luxation, cataract, hyaloid, pupillary block

Abstract

We present an unusual case of pupillary vitreous herniation with an intact hyaloid membrane, associated with anterior dislocation of the intraocular lens, an intact capsular bag, and a partially intact zonule. This case occurred in an 85-year-old patient with acute post-traumatic glaucoma immediately following cataract surgery. In the absence of similar reports, an innovative surgical technique was proposed: anterior hyaloidectomy in the retroiridian chamber. This minimally invasive procedure, performed by peripheral iridectomy, includes prelental anterior retroiridian vitrectomy, facilitating spontaneous repositioning of the intraocular prosthesis. The visual and anatomical results were favorable, demonstrating the potential efficacy of this technique for anterior segment surgeons.

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Author Biography

Andrés Germán Alza, Clínica Privada de Ojos Dr. Enrique Alza. La Plata (Buenos Aires)

Clínica Privada de Ojos Dr. Enrique Alza. La Plata (Buenos Aires) Argentina

References

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