Pseudophakic Pupillary Block

After cataract surgery this patient developed chronic inflammation that was diagnosed as P.acnes endophthalmitis for which he underwent lens exchange with a limited anterior vitrectomy and intravitreal antibiotics. One week later he was found to have an elevated intraocular pressure and evidence of iris bombé with the iris ballooning around his anterior chamber intraocular lens. After laser iridotomy this entirely resolved and his pressure returned to normal.