We describe a case of anterior capsule adherence to the iris that occurred
after phacoemulsification with in-the-bag intraocular lens (IOL) implantati
on. This adherence red to the development of pseudophakic pupillary block g
laucoma. There were no synechias at the pupillary margin associated with th
e capsule-iris adherence. Ultrasound biomicroscopy, used to evaluate the an
terior segment in vivo, clarified the mechanism of pseudophakic pupillary b
lock. The pupillary block was relieved by a single laser iridotomy. J Catar
act Refract Surg 2000; 26: 1836-1838 (C) 2000 ASCRS and ESCRS.