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Abstract #9262 Published in IGR 5-2
Rhegmatogenous retinal detachment with Schwartz's syndrome following Nd:YAG laser peripheral iridectomy in the management of pigmentary glaucoma
Heltzer JM; Schuman JSOphthalmic Surgery Lasers and Imaging 2003; 34: 206-208
A case of rhegmatogenous retinal detachment complicated by Schwartz's syndrome following Nd:YAG laser peripheral iridectomy in the management of pigmentary glaucoma is described. A 36-year-old male underwent Nd:YAG laser peripheral iridectomy for pigmentary glaucoma. Three days later, he had a rhegmatogenous retinal detachment. The break remained open following scleral buckling with persistent subretinal fluid, 'iridocyclitis', and elevated intraocular pressure (IOP). Two months later, the patient underwent revision of the scleral buckle. Following closure of the retinal break, the retina flattened, and within two weeks the 'iridocyclitis' resolved and the IOP decreased to approximately 20 mmHg. Rhegmatogenous retinal detachment may occur following laser peripheral iridectomy, and suggests the necessity for a prospective clinical trial to evaluate the role of laser peripheral iridectomy in the management of pigmentary glaucoma.
Dr. J.S. Schuman, New England Eye Center, Box 450, 750 Washington Street, Boston, MA 02111, USA
Classification:
9.4.3.1 Pigmentary glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.3 Glaucomas associated with disorders of the iris and ciliary body)
