Malignant glaucoma after cataract surgery
| Autor: | Diamond Y. Tam, Iqbal Ike K. Ahmed, Devesh K. Varma, Graham W. Belovay |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Intraocular pressure medicine.medical_specialty Mydriatics Visual acuity genetic structures Anterior Chamber medicine.medical_treatment Gonioscopy Visual Acuity Iris Vitrectomy Intraocular lens Lasers Solid-State Postoperative Complications Lens Implantation Intraocular Ophthalmology medicine Myopia Humans Dioptre Intraocular Pressure Aged Retrospective Studies Aged 80 and over Phacoemulsification medicine.diagnostic_test business.industry Cycloplegia Glaucoma Middle Aged Combined Modality Therapy eye diseases Sensory Systems Surgery Female sense organs medicine.symptom business Tomography Optical Coherence |
| Zdroj: | Journal of cataract and refractive surgery. 40(11) |
| ISSN: | 1873-4502 |
| Popis: | Purpose To report a series of eyes that developed malignant glaucoma after cataract surgery. Setting Private academic practice, Toronto, Ontario, Canada. Design Retrospective case series. Methods Eyes that developed malignant glaucoma after cataract surgery were treated with medical therapy. This was followed by laser iridozonulohyaloidotomy, anterior chamber reformation and intraocular lens (IOL) pushback, and finally with surgical iridozonulohyaloidovitrectomy if all other measures were unsuccessful. Refraction, intraocular pressure (IOP), gonioscopy, and anterior chamber depth (ACD) by anterior segment optical coherence tomography were analyzed before treatment and after treatment. Results The study evaluated 20 eyes of 18 female patients aged 44 to 86 years. Preoperatively, the mean refraction was +3.11 diopters (D) ± 2.89 (SD), the mean axial length was 21.30 ± 1.40 mm, and all eyes had narrow or closed angles. Malignant glaucoma was diagnosed a mean of 5.8 ± 7.1 weeks postoperatively. At diagnosis, the mean refraction was −2.15 ± 2.95 D; the mean ACD, 2.49 ± 0.72 mm; and the mean IOP, 28.3 ± 10.8 mm Hg on a mean of 1.3 ± 1.6 medications. Two eyes responded to cycloplegia, 7 to laser iridozonulohyaloidotomy, and 6 to anterior chamber reformation–IOL pushback; 5 eyes required vitrectomy. Posttreatment, the mean refraction was −0.56 ± 1.07 D; the mean ACD, 3.30 ± 0.50 mm; and the mean IOP, 14.4 ± 4.60 mm Hg on a mean of 1.2 ± 1.4 medications. Cycloplegia was discontinued in 17 eyes. Conclusion Malignant glaucoma can occur after phacoemulsification and presents with myopic surprise, anterior chamber shallowing and, possibly, elevated IOP. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned. |
| Databáze: | OpenAIRE |
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