Complication of examinationin arteficial mydriasis solved by cataract surgery
Fedasova Aneta & Kacmar Jiri
Gemini Eye Clinic, Ostrava, CZ
Abstract
A case report of a 52 - year - old patient with high hyperopia who underwent acute angle closure of the right eye after a routine eye examination abroad. A patient with high intraocular pressure in the right eye with eye pain and headache was treated con servatively and sent to us for a laser iridotomy. She arrives at our clinic on the 10th day after the onset of problems. After a general eye examination, in addition to severe hypotension, cataracts of both eyes were diagnosed. Due to unfavorable anatomica l conditions in the right eye, laser iridotomy was abandoned, the condition was re - evaluated, and cataract surgery was indicated and performed , which despite complicated situation took place without complications. Cataract surgery in second eye was perform ed in two weeks without complications which improve d the vision, anatomical and refractive conditions of both eyes.
In high hyperopia cases one should always consider narrow angle and risk of angle closure when dilating their pupil. In risky cases a preventive laser iridotomy should be considered. Did you also think about peroperative iridectomy in this patient?
Good evening, thank you for the question. Yes, we also considered this option. However, during the operation, after removing the lens, there was a significant improvement in the anatomical proportions of the eye. We decided to wait and possibly do laser iridotomy in time if needed.