Pseudophakic Pupillary Block Questions & Answers

Updated: Jun 10, 2020
  • Author: Mitchell V Gossman, MD; Chief Editor: Douglas R Lazzaro, MD, FAAO, FACS  more...
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Questions & Answers

Overview

What is pseudophakic pupillary block?

What is the pathophysiology of pseudophakic pupillary block?

What is the prevalence of pseudophakic pupillary block?

What is the mortality and morbidity associated with pseudophakic pupillary block?

What are the racial predilections of pseudophakic pupillary block?

What are the sexual predilections of pseudophakic pupillary block?

Which age groups have the highest prevalence of pseudophakic pupillary block?

Presentation

Which clinical history findings are characteristic of pseudophakic pupillary block?

What are the signs of pseudophakic pupillary block in adults?

What are the signs and symptoms of pseudophakic pupillary block in children?

What is included in the physical evaluation of pseudophakic pupillary block?

Which pupillary exam findings are characteristic of pseudophakic pupillary block?

Which slit lamp exam findings are characteristic of pseudophakic pupillary block?

Which intraocular pressure (IOP) findings are characteristic of pseudophakic pupillary block?

Which gonioscopy findings are characteristic of pseudophakic pupillary block?

Which fundus exam findings are characteristic of pseudophakic pupillary block?

What causes pseudophakic pupillary block?

What is the role of inflammation in the etiology of pseudophakic pupillary block?

What causes physical blockage in pseudophakic pupillary block?

What are the proliferative causes of pseudophakic pupillary block?

What is the role of fibrosis in the etiology of pseudophakic pupillary block?

What are the multifactorial causes of pseudophakic pupillary block?

DDX

What are the differential diagnoses for Pseudophakic Pupillary Block?

Workup

What is the role of lab tests in the workup of pseudophakic pupillary block?

What is the role of B-scans in the workup of pseudophakic pupillary block?

What is the role of optical CT in the workup of pseudophakic pupillary block?

What is the role of ultrasonography in the workup of pseudophakic pupillary block?

Treatment

How is pseudophakic pupillary block treated?

What is the role of surgery in the treatment of pseudophakic pupillary block?

What is the role of peripheral iridectomy in the treatment of pseudophakic pupillary block?

How is the pupil surgically freed in the treatment of pseudophakic pupillary block?

What obstructive particles my need removal during surgery to treat pseudophakic pupillary block?

How are the synechia and fibrotic membranes removed during surgery to treat pseudophakic pupillary block?

What is the role of vitrectomy in the treatment of pseudophakic pupillary block?

How are the implanted intraocular lens (IOL) manipulated during surgery to treat pseudophakic pupillary block?

What is the role of filtration surgery in the treatment of pseudophakic pupillary block?

Which activity modifications are used in the treatment of pseudophakic pupillary block?

Medications

What is the role of medications in the treatment of pseudophakic pupillary block?

Which medications in the drug class Corticosteroids are used in the treatment of Pseudophakic Pupillary Block?

Which medications in the drug class Sympathomimetic agents are used in the treatment of Pseudophakic Pupillary Block?

Which medications in the drug class Cholinergics are used in the treatment of Pseudophakic Pupillary Block?

Which medications in the drug class Hyperosmotic agents are used in the treatment of Pseudophakic Pupillary Block?

Which medications in the drug class Carbonic anhydrase inhibitors are used in the treatment of Pseudophakic Pupillary Block?

Follow-up

What is included in long-term monitoring following treatment of pseudophakic pupillary block?

Which medications are used in the treatment of pseudophakic pupillary block?

When is patient transfer indicated for the treatment of pseudophakic pupillary block?

What are the possible complications of pseudophakic pupillary block?

What is the prognosis of pseudophakic pupillary block?

What is included in patient education about pseudophakic pupillary block?