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A 52-year-old man with diabetes presented with a flat anterior chamber in the right
eye on the 30th postoperative day after manual small-incision cataract surgery. His
best-corrected visual acuity was 20/40. Slit-lamp examination (Fig. 1) showed clear cornea with a flat anterior chamber. Posterior chamber intraocular
lens was in the bag and in position posteriorly. Fibrin membrane was seen attached
to the pupillary margin, causing complete pupillary block. The finding was confirmed
with an ultrasound biomicroscopy (Fig. 2). Intraocular pressure was 25 mm Hg. Immediate YAG peripheral iridotomy was done,
which allowed deepening of the anterior chamber as shown in Figure 3. This was followed by YAG membranectomy.
Fig. 1Slit-lamp showing pupillary block caused by a thin inflammatory fibrin membrane.
Fig. 3Ultrasound biomicroscopy showing deepening of the anterior chamber after YAG peripheral
iridotomy with fibrin membrane still attached at the pupil.
