Recurrence of aqueous misdirection following pars plana vitrectomy in pseudophakic eyes
| Autor: | Nikhil S. Choudhari, Paaraj Dave, Sirisha Senthil, Aparna Rao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Pars plana
Adult Male medicine.medical_specialty genetic structures Pseudophakia Peripheral iridectomy medicine.medical_treatment Visual Acuity Intraocular lens Vitrectomy Article Malignant glaucoma Aqueous Humor Recurrence Ophthalmology medicine Humans Intraocular Pressure Retrospective Studies Aqueous flow business.industry Outcome measures Glaucoma General Medicine Middle Aged Aqueous misdirection eye diseases medicine.anatomical_structure Treatment Outcome Female sense organs business |
| Popis: | We present a retrospective interventional case series of four patients with pseudophakic eye who developed recurrent aqueous misdirection following pars plana vitrectomy (PPV) for malignant glaucoma (MG). The patients were treated with neodymium: YAG (Yttrium Aluminum Garnet) laser hyaloidotomy/membranotomy through the patent peripheral iridectomy. The main outcome measure was resolution of MG. The intervention resulted in resolution of MG in all four cases. The cause for recurrence was an inflammatory membrane covering the hyaloidotomy opening in three eyes and the haptic of intraocular lens blocking the hyaloidotomy opening in one eye. Recurrence of aqueous misdirection even after vitrectomy may be related to obstruction of aqueous flow through the communication created, either by intraocular lens or fibrin. Treatment of this condition involves restoring aqueous flow to the anterior chamber from the anterior vitreous by treating the cause, and most often the YAG laser hyaloidotomy/membranotomy is successful in relieving the condition. |
| Databáze: | OpenAIRE |
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