Case of bilateral Mooren's ulcers following filtering surgery using EX-PRESS glaucoma filtering devices
| Autor: | Noriko Toyokawa, Shinichiro Kuroda, Hideya Kimura, Kaoru Araki-Sasaki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Open angle glaucoma genetic structures Glaucoma implant surgery medicine.medical_treatment Glaucoma Case Report Autoimmune reaction 03 medical and health sciences 0302 clinical medicine Filtering surgery lcsh:Ophthalmology Metallic materials medicine EX-PRESS glaucoma filtering device business.industry Surgical injury Cataract surgery Mooren's ulcer corneal ulcer medicine.disease Trabeculotomy eye diseases Surgery Ophthalmology lcsh:RE1-994 030221 ophthalmology & optometry Betamethasone sense organs business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | American Journal of Ophthalmology Case Reports, Vol 17, Iss, Pp-(2020) American Journal of Ophthalmology Case Reports |
| ISSN: | 2451-9936 |
| Popis: | Purpose: To report our findings in a case of bilateral Mooren's ulcer that developed after filtering surgeries using the EX-PRESS glaucoma filtering device (EX-PRESS surgery). Patients and methods: A 71-year-old Japanese man with primary open angle glaucoma underwent EX-PRESS surgery first in his left eye and 1 month later in his right eye. He developed Mooren's ulcer in his right eye at 7 months and in his left eye at 10 months after the initial EX-PRESS surgery. Systemic examinations showed no collagen vascular disease, and he did not have a history of bacterial or viral infections. He was not allergic to metallic materials. Before the EX-PRESS surgery, he had underdone cataract surgery combined with trabeculotomy in both eyes, and a reoperation of trabeculotomy in his left eye. He had not developed Mooren's ulcer after these surgeries. The Mooren's ulcer after the EX-PRESS surgery was treated with oral prednisolone (30 mg tapering) in combination with topical 0.1% betamethasone sodium. The ulcers were responsive and healed well in three months. Conclusions: The EX-PRESS devices were most likely the cause of the Mooren's ulcers considering that they were located close to the site of EX-PRESS insertion and no peripheral corneal ulcer developed after prior intraocular surgeries. Keywords: Mooren's ulcer, Glaucoma implant surgery, EX-PRESS glaucoma filtering device, Autoimmune reaction, Surgical injury |
| Databáze: | OpenAIRE |
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