Fibrin membrane pupillary block after cataract surgery in a patient with diabetes

Topical dilation as first-line treatment for fibrin membrane pupillary-block glaucoma following uncomplicated cataract surgery

“…This case report describes the successful treatment of fibrin membrane pupillary-block glaucoma by managing it as a secondary angle closure case using topical pupil dilation. The treatment effectively broke the pupillary block and thereby avoided the need for more invasive procedures suggested by other authors such as Nd:YAG membranotomy, Nd:YAG peripheral iridotomy or injection of intracameral tissue plasminogen activator 1–4. Following the normalisation of the IOP, the inflammation was successfully treated with topical dexamethasone and the patient reached a CDVA of 1.0.…”

“…A review of the literature shows that only a very small number of case reports have been published on fibrin membrane pupillary-block glaucoma. Most recently, Pallamparthy and Rajendrababu reported a less severe case of a man with diabetes in his 50s with an IOP of 25 mmHg, successfully treated with Nd:YAG peripheral iridotomy 4. Khan and Elashry likewise applied the Nd:YAG laser, but chose to perform a membranotomy.…”