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February 5, 2026Journal of Cataract and Refractive Surgery Online Case Reports0 citationsOpen Access

Inverted Piggyback Intraocular Lens Insertion and Acute Angle Closure Complications

Inverted piggyback intraocular lens insertion complicated by acute angle closure

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Authors

BGBenjamin GriffinKMKareem MahgoubASAnna-Maria Sideri

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Overview

Reports inverted intraocular lens causing acute angle-closure glaucoma in pseudophakic women, suggesting timely intervention is crucial.

Key Points

  • This research investigates the complications of inverted piggyback intraocular lens implantation and its link to acute angle-closure glaucoma.
  • Examined two cases of women experiencing symptoms after Sulcoflex piggyback IOL implantation.
  • Conducted clinical examinations including optical coherence tomography to assess IOL orientation.
  • Applied acute management measures such as antiglaucoma therapy and Nd:YAG laser iridotomy.
  • Both patients presented with acute ocular pain, blurred vision, and high intraocular pressure.
  • Inverted IOL positioning led to pupillary block and variable clinical outcomes dependent on timely intervention.
  • Delayed recognition resulted in advanced glaucoma and corneal decompensation, while early intervention restored vision.

Cite This Study

Griffin et al. (2025) studied this question.

synapsesocial.com/papers/6984346ff1d9ada3c1fb2864https://doi.org/10.1097/j.jcro.0000000000000207
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