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Abstract #28190 Published in IGR 13-1
Management of juvenile-onset glaucoma and cataract in a patient with oculocutaneous albinism
Scharioth GB; Kolozsvari L; Mirshahi ATechniques in Ophthalmology 2010; 8: 137-139
We report the clinical evaluation and surgical treatment of a patient with late-onset juvenile glaucoma, shallow anterior chambers, narrow angles, cataract, and oculocutaneous albinism. Both eyes of the 48-year-old white woman were treated with combined 360-degree canaloplasty, phacoemulsification, intraocular lens implantation, and the placement of iris segment rings. All surgical procedures were uneventful, resulting in a significant decrease in intraocular pressure without the need for postoperative antiglaucomatous therapy; an improvement in visual acuity, diminished photophobia, and improved cosmesis were achieved. In addition to visual acuity and intraocular pressure control, the surgical approach in albinism should also address the cosmetic ocular appearance and the symptom of glare. Canaloplasty, a nonpenetrating surgical procedure involving circumferential viscodilation and tensioning of the inner wall of the Schlemm canal using a flexible microcatheter proved to be a safe and effective surgical procedure for this patient with juvenile glaucoma.
A. Mirshahi. Department of Ophthalmology, J. Gutenberg University Medical Center, Langenbeckstr 1, 55101 Mainz, Germany. Dr.Mirshahi@gmail.com
Classification:
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)