Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction

A 63-year-old woman with high hyperopia developed acute myopia of − 5.50 D with axial shallowing of anterior chamber and high intraocular pressure (IOP) in her left eye after 2 weeks of phacoemulsification surgery. She developed a myopic shift after 4 weeks in the right eye also which was operated 8...

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Autores principales: Swati Singh, Avnindra Gupta, Mahipal Singh Sachdev, Nirmala Sudhamala
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Lenguaje:EN
Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/21fd5a08485b4aca91ab7110ab914343
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spelling oai:doaj.org-article:21fd5a08485b4aca91ab7110ab9143432021-11-12T11:11:56ZBilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction2666-490910.4103/pajo.pajo_107_21https://doaj.org/article/21fd5a08485b4aca91ab7110ab9143432021-01-01T00:00:00Zhttp://www.thepajo.org/article.asp?issn=2666-4909;year=2021;volume=3;issue=1;spage=35;epage=35;aulast=Singhhttps://doaj.org/toc/2666-4909A 63-year-old woman with high hyperopia developed acute myopia of − 5.50 D with axial shallowing of anterior chamber and high intraocular pressure (IOP) in her left eye after 2 weeks of phacoemulsification surgery. She developed a myopic shift after 4 weeks in the right eye also which was operated 8 months ago for cataract. Laser peripheral iridotomy was ineffective in both eyes. Cycloplegic therapy was started for presumed aqueous misdirection syndrome (AMS) with antiglaucoma drugs in both eyes. A laser capsulo-hyaloidotomy was attempted in LE with no result. Pars plana vitrectomy (PPV) with iridectomy-zonulectomy-hyloidectomy (IZH) was done in both eyes after 2 years of onset and multiple recurrences associated with atropine withdrawal. Pseudophakic AMS can present as a myopic shift in refraction without a significant rise in IOP. Cycloplegic therapy is not well tolerated by multifocal intraocular lens patients. PPV with IZH has been effective in preventing relapses in our patient for 20 months (RE) and 23 months (LE).Swati SinghAvnindra GuptaMahipal Singh SachdevNirmala SudhamalaWolters Kluwer Medknow Publicationsarticlehypermetropiamyopic shiftpseudophakiasecondary glaucomasequential aqueous misdirection syndromeOphthalmologyRE1-994ENThe Pan-American Journal of Ophthalmology, Vol 3, Iss 1, Pp 35-35 (2021)
institution DOAJ
collection DOAJ
language EN
topic hypermetropia
myopic shift
pseudophakia
secondary glaucoma
sequential aqueous misdirection syndrome
Ophthalmology
RE1-994
spellingShingle hypermetropia
myopic shift
pseudophakia
secondary glaucoma
sequential aqueous misdirection syndrome
Ophthalmology
RE1-994
Swati Singh
Avnindra Gupta
Mahipal Singh Sachdev
Nirmala Sudhamala
Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction
description A 63-year-old woman with high hyperopia developed acute myopia of − 5.50 D with axial shallowing of anterior chamber and high intraocular pressure (IOP) in her left eye after 2 weeks of phacoemulsification surgery. She developed a myopic shift after 4 weeks in the right eye also which was operated 8 months ago for cataract. Laser peripheral iridotomy was ineffective in both eyes. Cycloplegic therapy was started for presumed aqueous misdirection syndrome (AMS) with antiglaucoma drugs in both eyes. A laser capsulo-hyaloidotomy was attempted in LE with no result. Pars plana vitrectomy (PPV) with iridectomy-zonulectomy-hyloidectomy (IZH) was done in both eyes after 2 years of onset and multiple recurrences associated with atropine withdrawal. Pseudophakic AMS can present as a myopic shift in refraction without a significant rise in IOP. Cycloplegic therapy is not well tolerated by multifocal intraocular lens patients. PPV with IZH has been effective in preventing relapses in our patient for 20 months (RE) and 23 months (LE).
format article
author Swati Singh
Avnindra Gupta
Mahipal Singh Sachdev
Nirmala Sudhamala
author_facet Swati Singh
Avnindra Gupta
Mahipal Singh Sachdev
Nirmala Sudhamala
author_sort Swati Singh
title Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction
title_short Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction
title_full Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction
title_fullStr Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction
title_full_unstemmed Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction
title_sort bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/21fd5a08485b4aca91ab7110ab914343
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