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AcrySof Pupillary Capture Without Pupillary Block

Kim, Tae Yon MD, PhD; Noh, Jae Hyun MD

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Journal of Cataract & Refractive Surgery: July 2003 - Volume 29 - Issue 7 - p 1250
doi: 10.1016/S0886-3350(03)00478-4
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We are interested in the article by Khokhar et al.1 regarding pupillary block after pupillary capture of an AcrySof® intraocular lens (IOL) (Alcon). We recently experienced 3 cases of AcrySof lens pupillary capture without pupillary block. This occurred in 3 men, 41, 42, and 60 years of age, who had phacoemulsification with in-the-bag implantation of the AcrySof MA60BM IOL using the Monarch II IOL delivery system. At 2 months (2 cases) and 4 months (1 case), IOL pupillary capture was found. The patients reported sudden onset of visual disturbance, glare, and photophobia for a few days. The examination showed partial IOL pupillary capture of the inferior portion with iridocapsular synechia; the intraocular pressure was within normal limits.

We performed synechiolysis and repositioned the iris without IOL exchange. One month later, the pupillary capture recurred at the same site in 1 case. There are 2 reports of pupillary block caused by AcrySof IOL pupillary capture,1,2 but to our knowledge this is the first report of pupillary capture without pupillary block.

Tae Yon Kim MD, PhD

Jae Hyun Noh MD

Seoul, South Korea


1. Khokhar S, Sethi HS, Sony P, et al. Pseudophakic pupillary block caused by pupillary capture after phacoemusification and in-the-bag AcrySof lens implantation. J Cataract Refract Surg 2002; 28:1291-1292
2. Nagamoto S, Kohzuka T, Nagamoto T. Pupillary block after pupillary capture of an AcrySof intraocular lens. J Cataract Refract Surg 1998; 24:1271-1274
© 2003 by Lippincott Williams & Wilkins, Inc.