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Abstract #5318 Published in IGR 1-2
A case of refractory secondary glaucoma following congenital cataract surgery
Hara S-Y; Sakuraba T; Mizutani H; Matsuhashi H; Nakazawa MJapanese Journal of Clinical Ophthalmology 1999; 53: 415-419
A 20-year-old woman had received uneventful linear extraction of congenital cataract in both eyes at the age of 3 years. She was referred to us for persistently elevated intraocular pressure (IOP) in her right eye since one year before. Initial trabeculectomy failed to control the IOP due to incarceration of vitreous in the surgical wound. Another trabeculectomy with anterior vitrectomy resulted in ocular hypotension with hypotensive maculopathy. Vitrectomy with gas tamponade induced stretching of the macular folds with elevated IOP. The IOP was eventually brought under control after ciliary endophotocoagulation. This case illustrates that adjunctive vitrectomy may induce ocular hypotony and that ciliary endophotocoagulation may have been effective during the initial filtration surgery.LA: Japanese
S.-Y. Hara, Department of Ophthalmology, Hirosaki Univ. School of Medicine, 5 Zaifu-cho, Hirosaki-shi 036-8562; Japan
Classification:
9.1.4 Other (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
