Cases reported "Glaucoma"

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1/5. Treatment of a cyclodialysis cleft by means of ophthalmic laser microendoscope endophotocoagulation.

    PURPOSE: To report on the repair of a cyclodialysis cleft by means of endolaser photocoagulation. METHOD: Case report. We describe treatment of a cyclodialysis cleft by means of endolaser photocoagulation with a diode laser. RESULTS: In a 8-year-old boy with pseudophakia and secondary glaucoma in the right eye, combined trabeculectomy/trabeculotomy was performed. Ten months later, the patient was seen with persistent hypotony with a flat filtration bleb. The hypotony was unresponsive to all forms of medical therapy. Reformation of the anterior chamber along with synechialysis revealed a 2.5 clock-hour cyclodialysis cleft by means of gonioscopy. A laser microendoscope probe was used and laser was applied to both the internal scleral and external ciliary body surfaces within the depths of the cleft. Within 3 weeks after treatment, intraocular pressure increased to 15 mm Hg and has remained at that level as of 9 months after the endolaser photocoagulation procedure. CONCLUSION: Endolaser photocoagulation with the ophthalmic laser microendoscope may be an appropriate procedure, after failure of medical therapy, for the diagnosis and repair of a cyclodialysis cleft, especially in the pediatric population.
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ranking = 1
keywords = pseudophakia
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2/5. Cystoid macular edema associated with latanoprost use in a pseudophakic eye with a history of surgical complications.

    PURPOSE: To report the development of cystoid macular edema following the use of topical latanoprost in an eye with glaucoma and pseudophakia. CASE: A 73-year-old woman with bilateral pseudophakia and glaucoma had been treated with topical carteolol hydrochloride and isopropyl unoprostone bilaterally. One month later the unoprostone was replaced by latanoprost bilaterally. After 1 month, the patient complained of decreased vision in the right eye, which had a history of surgical complications. RESULTS: fluorescein angiography showed cystoid macular edema in the right fundus. The edema disappeared 2 weeks after the discontinuation of latanoprost. Cystoid macular edema did not develop in the left eye, which had no history of surgical complications. CONCLUSION: These observations suggest that latanoprost may cause cystoid macular edema in an eye with a history of surgical complications.
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ranking = 2
keywords = pseudophakia
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3/5. Malignant glaucoma as a complication of Nd:YAG laser posterior capsulotomy.

    A 79-year-old woman with pseudophakia who underwent Nd:YAG posterior capsulotomy for posterior capsular opacification in her right eye had increased intraocular pressure associated with a flat anterior chamber. Full-thickness patent iridotomy performed with an Nd:YAG laser did not reduce the intraocular pressure. B-scan ultrasonography showed aqueous pockets in the vitreous, leading to a diagnosis of malignant glaucoma. Medical and surgical therapy normalized the intraocular pressure and resolved the symptoms of malignant glaucoma.
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ranking = 1
keywords = pseudophakia
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4/5. decompression retinopathy after Ahmed glaucoma valve implantation in a patient with congenital aniridia and pseudophakia.

    We present the case of a 16-year-old adolescent boy with congenital aniridia and pseudophakia who developed decompression retinopathy in a glaucomatous eye after Ahmed glaucoma valve implantation combined with anterior vitrectomy. On the first postoperative day, dot and blot-shaped hemorrhages scattered in the posterior pole were observed. The hemorrhages resolved over 6 months, and the visual acuity returned to the preoperative level. Severe deterioration of the visual field was not observed in the late postoperative period. Despite the sudden visual acuity decrease postoperatively, decompression retinopathy is a benign condition and resolution of hemorrhages without sequelae is the natural course.
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ranking = 5
keywords = pseudophakia
(Clic here for more details about this article)

5/5. glaucoma management in pseudophakia.

    The ever-increasing number of cataract extractions followed by insertion of intraocular lenses has resulted in the emergence of a new group of patients with severe glaucoma. A series of 41 patients (45 eyes) referred for evaluation and management of uncontrolled glaucoma in pseudophakia is presented. glaucoma had preexisted in 23 eyes. Sixteen different mechanisms were responsible for the postoperative glaucoma. Among the 41 patients were three with acquired pigmentary glaucoma. The case report of one of those three demonstrates that nonfixation of an Anis posterior chamber intraocular lens was the means by which iris pigment was dislodged. In all cases medical therapy was instituted or intensified, but resulted in acceptable glaucoma control in only 14 eyes. Laser procedures were used in 24 eyes, and laser therapy followed by medical therapy resulted in control in 19 eyes. The remaining 12 eyes underwent 31 surgical procedures, including three enucleations.
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ranking = 5
keywords = pseudophakia
(Clic here for more details about this article)


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