ExPRESS Shunt Surgery for Glaucoma with Post-Traumatic Aniridia
Autor: | M. Carmen Sanchez, M. Jesús Muniesa, Valentín Huerva |
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Rok vydání: | 2013 |
Předmět: |
Male
medicine.medical_specialty genetic structures medicine.medical_treatment Gonioscopy Timolol Glaucoma Ocular Hypotension Aphakia Postcataract Aphakia Prosthesis Implantation Dorzolamide Ophthalmology medicine Humans Trabeculectomy Glaucoma Drainage Implants Antihypertensive Agents Intraocular Pressure Aged business.industry Brimonidine Accidents Traffic General Medicine medicine.disease Eye Injuries Penetrating eye diseases Surgery Iris Diseases Aniridia sense organs Implant business Glaucoma Open-Angle medicine.drug |
Zdroj: | Seminars in Ophthalmology. 30:218-220 |
ISSN: | 1744-5205 0882-0538 |
DOI: | 10.3109/08820538.2013.835845 |
Popis: | A 76-year-old male presented with post-traumatic aphakia and aniridia in the right eye. The ocular pressure was 24 mmHg despite treatment with mixed eyedrops of timolol 0.5% and dorzolamide, brimonidine 0.1%, and Latananoprost 0.005%. The glaucomatous cup excavation was 0.8. Because it was his only eye, we informed him of the possibility of the Ex-PRESS implant as a possible prevention measure of possible postoperative hypotony. Seidel, hypotony, and choroidal detachment were not observed in the postoperative period. In the first two postoperative months, the pressure remained at 14 mmHg. The ocular pressure reached 20 mmHg at three months, so he was treated with mixed eyedrops of timolol 0.5% and brimonidine 0.1%. The ocular pressure decreased to 12 mmHg and remained at that level at the 10-month follow-up. The absence of serious postoperative complications suggest that this procedure may be an alternative in selected situations, such as for our patient. |
Databáze: | OpenAIRE |
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