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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 106-108

A new ophthalmological application of Nd:YAG laser: Reopening of the occluded central hole of Visian implantable collamer lens in the treatment of acute angle - closure glaucoma

1 Department of Refractive Surgery, Dunyagoz Etiler Hospital; Faculty of Health Sciences, Istanbul Rumeli University, Istanbul, Turkey
2 Department of Refractive Surgery, Dunyagoz Etiler Hospital; Department of Ophthalmology, Sultan II. Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey

Correspondence Address:
Dr. Belma Kayhan
Acibadem, Almondhill Sitesi, B15 Blok, D 8, Uskudar, Istanbul - 34660
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1441_21

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This report presents a new application of Nd:YAG laser for reopening the occluded central hole of Visian implantable collamer lens (EVO Visian ICL). A 23-year-old female underwent EVO Visian ICL implantation in the left eye. After 6 hours postoperatively, the patient presented with an increase in pain and intraocular pressure (IOP) despite antiglaucomatous medication. Acute angle-closure glaucoma with anterior chamber shallowing and deposition of fibrinoid material within the central hole of ICL was diagnosed. Fibrin deposits blocking the central hole were disrupted with Nd:YAG laser. With restoration of aqueous flow, IOP decreased to normal levels without any additional medication.

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