DR. NOOPUR D. NAYAK SHINKRE

Dr. ALPESH TOPRANI

A 70 year old male presented with a 3 months history of symptoms suggestive of Pseudophakic

bullous keratopathy with diminution of vision since 3 years in the left eye. Examination revealed a hazy edematous

cornea with presence of a single piece PMMA PCIOL implanted in the anterior chamber with a superior peripheral

iridectomy and vision of light perception and IOP of 32mmHg in the left eye. Patient was initially managed

medically with systemic and topical AGM and PCIOL explantation with anterior vitrectomy was performed, once

target IOP was achieved. 3 weeks post-op, vision was light perception and IOP was 12mmHg in the left eye. Fundus

examination revealed optic atrophy. Whereas implantation of PCIOL in AC can be a cause for PBK, in this case,

however, it was a vitreous blob blocking the PI and causing the secondary glaucoma and PBK with the anterior

chamber fixation of PCIOL playing a contributory factor in the development of PBK.