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Abstract #8236 Published in IGR 4-3
The management of secondary glaucoma in nanophthalmic patients
Huang S; Yu M; Qiu C; Ye TEye Science 2002; 18: 156-159
PURPOSE: To investigate the clinical characteristics, management of secondary glaucoma in nanophthalmos, and the prevention of its complications. METHODS: Retrospectively, nine cases 917 eyes) with nanophthalmic glaucoma were studied. RESULTS: The axial length of the eyes ranged from 14.36-19.33 mm. All the cases combined with hyperopia were between +7.00 - +16.00 D. All 17 eyes had a manifestation like angle-closure glaucoma. The glaucoma was controlled in nine of the 17 eyes at an early stage, all of which underwent laser iridotomy (four of nine eyes also underwent laser iridoplasty). One eye underwent ciliary photocoagulation because its visual acuity was lost and the patient complained of pain. The other seven eyes underwent filtration surgery and three of them had permanent loss of vision caused by serious complications after surgery. CONCLUSIONS: Management of secondary glaucoma is nanophthalmos is complicated. Laser iris surgery is safe and effective in the early stages of glaucoma. Vortex vein decompression, sclerotectomy, or anterior sclerotomy may be performed to reduce serious complications.
H. Shengsong, MD, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Classification:
9.3.10 Other (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
