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Angle-recession glaucoma, being a consequence of blunt injury of an eyeball, is likely to develop in both a short or very distant period. The likelihood of the incidence of that condition in the clinical form is determined by the extent of injuries of ciliary cleft structures, especially of a trabecular meshwork. The manuscript reports a case of an early glaucoma secondary to a blunt injury of an eyeball with symptoms of angle recession to 300(degrees) of periphery and intraocular pressure (IOP) at a level of 62 mmHg. The basic diagnostic examination that enables the evaluation of an angle, iris root and an opening to the ciliary cleft is gonioscopy. In case of a lack of response to the pharmacological reduction of IOP, a method of choice still remains a surgical procedure. In the reported case, a drainage procedure was applied in the form of implantation of the Ahmed valve prosthesis. Control tonometric examinations of the operated eye, performed over a 20-week period of postoperative management, demonstrated IOP at a level of 19 mmHg.
M. Lew. Department of Surgery, Faculty of Veterinary Medicine, University of Warmia and Mazury, 14 Oczapowskiego Street, 10-957 Olsztyn, Poland. lew@uwm.edu.pl
5.3 Other (Part of: 5 Experimental glaucoma; animal models)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)