Secondary intraocular lens (IOL) placement in the absence of a capsular bag may result in several complications. The authors report the clinicopathologic features of a case of ghost cell glaucoma after the placement of a sutureless posterior chamber IOL. A 47-year-old male presented with a dislocated IOL and underwent lens exchange using a sutureless scleral-fixation technique. Over the following year, the patient developed recurrent vitreous hemorrhages and elevated intraocular pressure despite medical therapy, and an aqueous specimen disclosed ghost cells. Although uncommon, mechanical contact between the iris and a secondary IOL may produce persistent vitreous hemorrhage and elevated intraocular pressures with the formation of ghost cells.
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