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Abstract #52569 Published in IGR 15-1

Acute glaucoma in a patient with an Artisan(®) due to trabecular blockage after combined intravitreal treatment for macular oedema

Valverde-Megías A; Donate-López J; Torres-Imaz R; Díaz Valle D; Arriola-Villalobos P; Jiménez-Santos M; García-Feijoo J
Archivos de la Sociedad Española de Oftalmologia 2013; 88: 120-122

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CASE REPORT: We present a 71-year-old patient with an Artisan(®) implant and macular oedema associated with unsatisfactory response to repeated intravitreal corticosteroids. An intravitreal Trigon(®) and Avastin(®) combined injection was given, and acute glaucoma developed. Anterior chamber washout was performed to resolve the rise in intraocular pressure. In spite of an excellent macular response, this was only temporary, and the corneal endothelium, which had remained competent so far, suffered irreversible damage. DISCUSSION: The combination of both treatments, along with the particular anatomic features in these patients, may have been precipitating factors in this unfortunate outcome.

Departamento de Retina, Hospital Clínico San Carlos, Madrid, España. Electronic address: dramegara@yahoo.es.

Full article

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Classification:

9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
9.4.1 Steroid-induced glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)

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