RESUMEN
Sturge-Weber syndrome (SWS) is a rare congenital neurocutaneous disorder that causes congenital glaucoma. Previous experiences have shown that drainage procedures are often required to control associated glaucoma. The conventional surgical approach in trabeculectomy carries a significant risk of intraoperative expulsive hemorrhage. Here, we describe a modified approach of the conventional trabeculectomy technique, which may lower the risk of expulsive hemorrhage. A viscoelastic device was employed to maintain a steady intraocular pressure throughout the procedure. Details of the surgical technique and material used are described. One patient with congenital glaucoma associated with SWS underwent a successful trabeculectomy using the modified technique. Postoperative intraocular pressure was successfully reduced and no intraoperative complications occurred. We describe a successful case of trabeculectomy in a SWS case where a modified technique was applied.
Asunto(s)
Glaucoma/congénito , Presión Intraocular , Síndrome de Sturge-Weber/complicaciones , Trabeculectomía/métodos , Humanos , Recién Nacido , Masculino , Síndrome de Sturge-Weber/diagnóstico , Síndrome de Sturge-Weber/cirugía , Agudeza VisualRESUMEN
UNLABELLED: We report a case of progressive capsule membrane growth 4 months after neodymium:YAG capsulotomy for posterior capsule opacification. The clinical picture closely resembled epithelial ingrowth, but histology proved otherwise. Multiple operations were required to control glaucoma and capsule proliferation. However, the patient's visual potential was limited by corneal decompensation and glaucomatous damage. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.