1192upillary capture (PC) is a rare condition where part of the pupillary margin is displaced posteriorly behind the intraocular lens (IOL) optic.1 It may arise spontaneously or due to a trauma during the early or late postoperative period.1 In the past, PC was relatively common with an incidence of 3%.2 However, its incidence has decreased with modern surgical techniques and IOL designs. Although often being asymptomatic, PC can lead to a pupillary block, chronic uveitis, cystoid macular edema, and posterior capsule opacification.
2-5The medical treatment of pupillary capture is presented using a practical method, the subconjunctival adrenaline injection. To our knowledge, this is the first report in which subconjunctival adrenaline is used in the medical treatment of pupillary capture.
Medical Treatment of Traumatic PupillaryCapture by Simple Pupil Dilation with Subconjunctival Adrenaline: Case Report A AB BS ST TR RA AC CT T A 51-year-old male was admitted to our clinic with blurred vision, pain, and redness following blunt trauma to his right eye. The patient had a history of right-eye extracapsular cataract extraction, with intraocular lens implantation three years ago. On biomicroscopic examination, a 4+ cell reaction was detected in the anterior chamber, and pupillary capture (PC) was identified between the 9 and 2 o'clock points. In this case, the noninvasive treatment of traumatic PC and uveitis is reported. This case illustrates that, in order to achieve sufficient pupillary dilatation, a subconjunctival injection of adrenaline should be considered in the noninvasive treatment of such patients.K Ke ey y W Wo or rd ds s: : Conjunctiva; epinephrine; pupil disorders Ö ÖZ ZE ET T Elli bir yaşında erkek hasta sağ gözde görme keskinliğinde azalma, ağrı ve kızarıklık şika-yetleri ile polikliniğimize başvurdu. Hastanın sağ gözde geçirilmiş ekstra-kapsüler katarakt ekstraksiyonu ve göz içi lens implantasyonu öyküsü mevcuttu. Biyomikroskopik muayenede ön kamarada grade 4 hücre reaksiyonu ve saat 9 ile 2 arasında pupilla yakalanması tespit edildi. Bu olgu sunumunda travmatik pupilla yakalanması ve üveitin medikal tedavisi bildirilmektedir. Böyle olguların medikal tedavisinde yeterli pupilla dilatasyonu sağlamak için subkonjonktival adrenalin kullanımı göz önünde bulundurulmalıdır.A An na ah ht ta ar r K Ke el li im me el le er r: : Konjonktiva; epinefrin; pupil bozuklukları T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J M Me ed d S Sc ci i 2 20 01 13 3; ;3 33 3( (4 4) ): :1 11 19 92 2--5 5