Pupillary block after phakic anterior chamber intraocular lens implantation.

A 49-year-old patient developed pupillary block glaucoma with an intraocular pressure (iop) of 29 mm hg after implantation of a phakic intraocular lens (iol) (NuVita®, Bausch & Lomb) in the left eye. the anterior chamber deepened again, and the iop decreased to 16 mm hg after a neodymium: YAG iridotomy. Pupillary block glaucoma may occur after phakic IOL implantation without iridotomy, and we advocate that routine iridotomy be performed during phakic IOL surgeries.