The Pan-American Journal of Ophthalmology

CASE REPORT
Year
: 2021  |  Volume : 3  |  Issue : 1  |  Page : 35-

Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction


Swati Singh, Avnindra Gupta, Mahipal Singh Sachdev, Nirmala Sudhamala 
 Cataract and Glaucoma Services, Centre for Sight, New Delhi, India

Correspondence Address:
Dr. Swati Singh
B - 5/24, Safdarjung Enclave, New Delhi - 110 029
India

A 63-year-old woman with high hyperopia developed acute myopia of − 5.50 D with axial shallowing of anterior chamber and high intraocular pressure (IOP) in her left eye after 2 weeks of phacoemulsification surgery. She developed a myopic shift after 4 weeks in the right eye also which was operated 8 months ago for cataract. Laser peripheral iridotomy was ineffective in both eyes. Cycloplegic therapy was started for presumed aqueous misdirection syndrome (AMS) with antiglaucoma drugs in both eyes. A laser capsulo-hyaloidotomy was attempted in LE with no result. Pars plana vitrectomy (PPV) with iridectomy-zonulectomy-hyloidectomy (IZH) was done in both eyes after 2 years of onset and multiple recurrences associated with atropine withdrawal. Pseudophakic AMS can present as a myopic shift in refraction without a significant rise in IOP. Cycloplegic therapy is not well tolerated by multifocal intraocular lens patients. PPV with IZH has been effective in preventing relapses in our patient for 20 months (RE) and 23 months (LE).


How to cite this article:
Singh S, Gupta A, Sachdev MS, Sudhamala N. Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction.Pan Am J Ophthalmol 2021;3:35-35


How to cite this URL:
Singh S, Gupta A, Sachdev MS, Sudhamala N. Bilateral sequential pseudophakic aqueous misdirection syndrome presenting as a myopic shift in refraction. Pan Am J Ophthalmol [serial online] 2021 [cited 2021 Dec 7 ];3:35-35
Available from: https://www.thepajo.org/article.asp?issn=2666-4909;year=2021;volume=3;issue=1;spage=35;epage=35;aulast=Singh;type=0