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Abstract #59469 Published in IGR 16-3

Endoscopic cyclophotocoagulation in refractory glaucoma after osteo-odonto-keratoprosthesis in stevens-johnson syndrome: a case report

Forlini M; Adabache-Guel T; Bratu A; Rossini P; Mingaine MS; Cavallini GM; Forlini C
Retinal cases & brief reports 2014; 8: 193-196

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PURPOSE: To report successful treatment of refractive glaucoma in a patient submitted to osteo-odonto-keratoprosthesis surgery for Stevens-Johnson syndrome. METHODS: An interventional case report. RESULTS: The patient is a 62-year-old Indian man with known Stevens-Johnson syndrome since 1972 secondary to tetracycline therapy, with bilateral dry eye and corneal blindness. He underwent symblepharon release surgery with mucous membrane graft in both eyes. Osteo-odonto-keratoprosthesis surgery was later performed on the left eye. He was submitted to 2 Ahmed valve implants to control secondary glaucoma but visual fields continued to worsen; hence, he underwent endoscopic 140° cyclophotocoagulation with a good control of IOP. CONCLUSION: Endoscopic cyclophotocoagulation as alternative treatment provides good results in refractory glaucoma after osteo-odonto-keratoprosthesis surgery.

*Institute of Ophthalmology, University of Modena, Modena, Italy; †Department of Retina, Asociación para Evitar la Ceguera en México IAP, México City, México; ‡Department of Ophthalmology, Surgical Vitreoretinal Unit, "Santa Maria delle Croci" Hospital, Ravenna, Italy; and §Meru District Hospital, Meru Town, Kenya.

Full article

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Classification:

9.4.11.4 Glaucomas associated with corneal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)
12.10 Cyclodestruction (Part of: 12 Surgical treatment)

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