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Abstract #6793 Published in IGR 4-1
Posttraumatic glaucoma
Ammar OCB; Chaker N; Soukah M; Asmi W; El Matri LJournal Français d'Ophtalmologie 2002; 25: 126-129
INTRODUCTION: Ocular trauma is an important cause of blindness among young people. Injuries to the iridocorneal angle cause ocular hypertonia and postcontusive glaucoma. The purpose of this work was to study the clinical and therapeutic particularities of postcontusive ocular hypertonia. METHODS: This is a retrospective study on 13 patients (12 males and one female) with ocular hypertonia as a result of contusive trauma to the iridocorneal angle, with no hyphema or lens dislocation. Patients were aged from 16 to 38 years. RESULTS: Ocular hypertonia appeared between one week and six months after the trauma. The lesions involved were cyclodialysis (two cases), angle recession (11 cases), and iridodialysis (two cases). Ocular hypertonia was complicated in six cases by contusive glaucoma (as shown by optic disc examination and visual field exploration). The balancing of intraocular pressure was obtained by local treatment in only nine cases and by trabeculectomy in five cases. DISCUSSION: The authors discuss the physiopathology, therapeutic particularities, as well as the pronostics of contusive ocular hypertonia by iridocorneal angle damage. CONCLUSION: Screening for ocular hypertonia must be regular and systematic after ocular trauma involving lesion of the iridocorneal angle.LA: French
Dr. O.C.B. Ammar, Hopital Regional de Nabeul, Tunis, Tunisia
Classification:
9.4.7 Glaucomas associated with ocular trauma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
