Cryotherapy for the management of refractory hypotony secondary to post-goniotomy cyclodialysis cleft.
| Autor: | Portney DS; University of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI, 48109, USA., Michelson SJ; Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, 1000 Wall St, Ann Arbor, MI, 48105, USA., Besirli CG; Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, 1000 Wall St, Ann Arbor, MI, 48105, USA., Shah M; Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, 1000 Wall St, Ann Arbor, MI, 48105, USA. |
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| Jazyk: | angličtina |
| Zdroj: | American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2020 Aug 18; Vol. 20, pp. 100876. Date of Electronic Publication: 2020 Aug 18 (Print Publication: 2020). |
| DOI: | 10.1016/j.ajoc.2020.100876 |
| Abstrakt: | Purpose: To report on the management of an unusual case of post-goniotomy hypotony. Observation: A 41-year-old female with pigmentary glaucoma presented with a post-goniotomy cyclodialysis cleft and signs of hypotony maculopathy. Indirect cyclopexy closed the visible cleft but did not resolve her hypotony, despite neither ultrasonographic nor gonioscopic evidence of an open cleft or communication channel. Cryotherapy-induced cyclopexy and subsequent viscoelastic agent fill increased the intraocular pressure back to baseline. Conclusions: This is the first reported case of cryotherapy correcting hypotony in a patient with no gonioscopic or ultrasonographic evidence of a cyclodialysis cleft. It demonstrates the utility of cryotherapy in the management of persistent ocular hypotony despite no detectable channel of aqueous outlet. Competing Interests: Manjool Shah: Glaukos Corp (consultant), Allergan, Inc (consultant), Katena (consultant). The following authors have no financial disclosures; DSP, SM, CGB. (© 2020 The Authors.) |
| Databáze: | MEDLINE |
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