advertisement
Abstract #19200 Published in IGR 3-1
Central retinal vein occlusion after trabeculectomy with mitomycin C
Wu SCCanadian Journal of Ophthalmology 2001; 36: 37-39
This is the case report of a 60-year-old Asian male with advanced primary open-angle glaucoma, who had undergone primary trabeculectomy in both eyes six years previously. The intraocular pressure (IOP) in his left eye rose again because of bleb dysfunction. Because of visual field progression, a second trabeculectomy was performed with mitomycin C. Five days after the procedure, the visual acuity suddenly decreased. The pressure was 8 mmHg. Ophthalmoscopy showed central retinal vein occlusion (CRVO). The author comments that it is thought that changes in pressure in the eye may lead to hemodynamical changes and various patterns of retinal hemorrhages. The question, of course, is always whether there is a causal relationship between the glaucoma and CRVO, which is a common disease in the elderly. The author also suggests that there may have been an association between CRVO and the use of mitomycin C. This would seem to be difficult to prove.
Dr S.C. Wu, Department of Ophthalmology, Chang Gung Memorial Hospital, 199 Tung Hwa North Road, Taipei, Taiwan 105. shiuchen@adm.cgmh.org.tw
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
