{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:13Z","timestamp":1787775733140,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Reverse pupillary block with intraocular pressure (IOP) elevation after cataract surgery with in-the-bag implantation of intraocular lens (IOL) is considered a very rare complication. We report the case of a 47-year-old female patient with bilateral high axial myopia and posterior staphyloma presented with left acute loss of vision and eye pain, headache, and vomiting 2 weeks after uneventful presenile cataract surgery with single-piece IOL implantation in the capsular bag 1 month and 2 weeks in the right and left eyes, respectively. Gonioscopy showed extremely wide angle in all quadrants compared to the other eye with Spaeth classification of E 60c + 2 (14). Ultrasound biomicroscopy of the left eye showed epithelial corneal edema, 4.56 mm-deep anterior chamber, abnormal iris configuration with posterior concavity, and angle opening ranging between 60\u00b0 and 74\u00b0, with unremarkable posterior chamber IOL and ciliary body. We managed the patient with topical antiglaucoma medications and laser peripheral iridotomy. IOP returned to normal levels. The patient was followed for 12 consecutive months. Elevated IOP from the reverse pupillary block is a rare postoperative complication of cataract surgery. It was initially described in association with the ciliary sulcus implanted IOL. Elevated IOP from the reverse pupillary block was then reported associated with scleral sutured IOLs and Yamane technique, and most recently with in-the-bag implanted 3-piece-IOL. Herein, we report the first case of pseudophakic reverse pupillary block in association with in-the-bag implanted single-piece foldable acrylic IOL.<\/jats:p>","DOI":"10.4103\/ojo.ojo_348_22","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T02:00:58Z","timestamp":1708480858000},"page":"120-123","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Pseudophakic reverse pupillary block after implantation of a single-piece foldable intraocular lens in the capsular bag: Case report and literature review"],"prefix":"10.4103","volume":"17","author":[{"given":"Mokhtar Mohamed","family":"Abushanab","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Research Institute of Ophthalmology, Giza, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Solyman","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Research Institute of Ophthalmology, Giza, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abd El Samee","family":"Sakr","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Research Institute of Ophthalmology, Giza, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hashem Abu","family":"Serhan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hamad Medical Corporations, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,22]]},"reference":[{"key":"R1-20240918","first-page":"304","article-title":"Reversed pupillary block","volume":"22","author":"Blumenthal","year":"1991","journal-title":"Ophthalmic Surg"},{"key":"R2-20240918","first-page":"269","article-title":"Pigmentary dispersion syndrome and pigmentary glaucoma:A new mechanism concept, a new treatment, and a new 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