ABSTRACT
BACKGROUND: The purpose of this study was to determine any difference in dynamic contour tonometry and ocular pulse amplitude in asymmetric glaucoma patients with the same applanation intraocular pressure. METHODS: This is a prospective, observational study of 30 glaucoma patients and 11 controls from June 2007 to February 2008. Most of the glaucoma patients were on prostaglandin analog treatment. RESULTS: Mean applanation intraocular pressure in the control group was 14.28 mmHg for the right eye and 14.10 mmHg for the left eye (P > 0.05). Corneal thickness was 519.10 µm for the right eye and 511.07 µm for the left eye (P > 0.05). Mean dynamic contour tonometry intraocular pressure was 17.28 mmHg for the right eye and 17.25 mmHg for the left eye (P > 0.05). Mean ocular pulse amplitude was 2.80 mmHg for the right eye and 2.92 mmHg for the left eye (P > 0.05). CONCLUSION: No differences in ocular pulse amplitude were found between the two groups and between the worst and the best eye. In spite of there being no difference in ocular pulse amplitude, dynamic contour tonometry intraocular pressure was 2.44 mmHg higher in the worst eye than in the best eye in the glaucoma patients, even with the same applanation intraocular pressure. Further studies are needed to confirm if this difference is related to glaucoma progression or a worst prognosis and whether it can be considered to be a new risk factor.
ABSTRACT
Infecção intraocular é a mais dramática e temível complicação após uma trabeculectomia, com sequelas anatômicas significativas e grave comprometimento funcional, por vezes irreversíveis. Trata-se no presente caso de um paciente do sexo masculino, portador de glaucoma congênito, submetido à trabeculectomia bilateral aos 13 anos de idade, e uma segunda trabeculectomia com mitomicina C aos 32 anos no olho direito (OD), que se apresentou 8 anos após o procedimento com endoftalmite neste olho. Após tratamento anti-inflamatório e antibioticoterápico, tópico e intravítreo, intensivos, o processo foi controlado, restando um olho hipotrófico e amaurótico com catarata e descolamento de retina totais.
An intraocular infection is the most terrible complication after a trabeculectomy, usually with significant anatomical consequences and irreversible functional impairment. The case of a 40-year-old male patient with congenital glaucoma, submitted to a trabeculectomy on both eyes at the age of 13, is presented. At the age of 32 a second trabeculectomy with mitomycin C was performed on the right eye. Eight years later he presented with an endophthalmitis in the same eye. Despite intensive local treatment and intravitreous injection, a hypotrophic amaurotic eye resulted with total cataract and retinal detachment.
