A Case of Vitreous Prolapse through Iridectomy Site after Trabeculectomy
Journal of the Korean Ophthalmological Society
; : 602-606, 2012.
Article
in Ko
| WPRIM
| ID: wpr-143966
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To report the results of anterior vitrectomy for obstruction of the aqueous outflow shunt by prolapsed vitreous strands after trabeculectomy. CASESUMMARY:
Trabeculectomy was performed on a pseudophakic primary open angle glaucoma patient with uncontrolled intraocular pressure under maximum tolerable medical therapy. Three months after trabeculectomy, the bleb flattened and the intraocular pressure elevated. On gonioscopic examination, vitreous strands prolapsed through the iridectomy site obstructing the inner ostium. The maximum tolerable medical therapy and NdYAG laser vitreolysis were attempted, but the intraocular pressure was not controlled. Anterior vitrectomy was performed to remove the prolapsed vitreous strands. After anterior vitrectomy, the bleb regained filtering function and the intraocular pressure was stabilized.CONCLUSIONS:
In a case with a prolapsed vitreous into the anterior chamber obstructing the outflow shunt of the aqueous humor after trabeculectomy, anterior vitrectomy showed therapeutic effects.Key words
Full text:
1
Index:
WPRIM
Main subject:
Aqueous Humor
/
Prolapse
/
Vitrectomy
/
Trabeculectomy
/
Glaucoma, Open-Angle
/
Blister
/
Iridectomy
/
Intraocular Pressure
/
Anterior Chamber
Limits:
Humans
Language:
Ko
Journal:
Journal of the Korean Ophthalmological Society
Year:
2012
Type:
Article