Fibrin Membrane Induced Pupillary Block Glaucoma Treated With Nd:YAG Laser After Uncomplicated Cataract Surgery

Abstract

Background: Fibrin pupillary-block glaucoma is a rare complication after uneventful cataract surgery. We aimed to share our treatment approach with Nd: YAG laser fibrin membranotomy. Case presentation: A 68-year-old male patient without any systemic comorbidity developed acute intraocular pressure elevation with a shallow anterior chamber 7 days after uneventful cataract surgery. Visual acuity (VA) of the right eye was 0.1 and IOP was 48 mmHg. There was a fibrin membrane that completely closed the pupillary space. It was observed that there was 360-degree iridocorneal contact in the periphery. An Nd: YAG laser was applied to create an opening at the upper edge of the fibrin membrane. A rapid deepening of the anterior chamber was observed immediately after perforation of the membrane. After deepening of the anterior chamber, permanent peripheral iridotomy was opened with argon-Nd: YAG. Conclusion: Although the fibrin membrane is seen after uneventful cataract surgeries usually suggests which inflammation is triggered, these results can sometimes occur even before the disease is present.