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17.
Arch. Soc. Esp. Oftalmol ; 92(8): 382-385, ago. 2017. ilus
Artigo em Espanhol | IBECS | ID: ibc-165476

RESUMO

Caso clínico: Presentamos el caso de una paciente operada previamente de cirugía de glaucoma a la cual indicamos una intervención de cicloablación mediada por ultrasonidos (UC3® [EyeTechCare, Rillieux La Pape, France]). Por presentar rigidez palpebral extrema, aumentada con la infiltración preoperatoria de anestésico local, fue necesaria la realización de cantotomía y cantólisis para la correcta introducción del cono. La evolución, tanto de la herida quirúrgica como de la presión intraocular resultó muy favorable. Discusión: En pacientes complicados en los que la cirugía del glaucoma puede estar limitada por razones anatómicas, el empleo de técnicas de oculoplastia puede ser de gran ayuda para resolver estas situaciones (AU)


Case report: The case is presented on a patient with primary open-angle glaucoma treated with the novel ultrasound circular cyclocoagulation technique (UC3(R) [EyeTechCare, Rillieux La Pape, France]), who had previously undergone glaucoma surgery. Due to having extreme palpebral rigidity, worsened by the pre-operative local anesthesia injections, a canthotomy and cantholysis were needed to correctly position of the UC3(R) probe cone. Clinical outcome as regards the IOP and the surgical wound was very satisfactory. Discussion: In complex cases of refractory glaucoma in which cyclo-destructive surgery is limited for anatomical reasons, a complementary oculoplasty technique may be a good option (AU)


Assuntos
Humanos , Feminino , Idoso de 80 Anos ou mais , Glaucoma/cirurgia , Cirurgia Filtrante , Ablação por Ultrassom Focalizado de Alta Intensidade/métodos , Falha de Tratamento , Resultado do Tratamento
18.
Arch Soc Esp Oftalmol ; 92(8): 382-385, 2017 Aug.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-28215764

RESUMO

CASE REPORT: The case is presented on a patient with primary open-angle glaucoma treated with the novel ultrasound circular cyclocoagulation technique (UC3® [EyeTechCare, Rillieux La Pape, France]), who had previously undergone glaucoma surgery. Due to having extreme palpebral rigidity, worsened by the pre-operative local anesthesia injections, a canthotomy and cantholysis were needed to correctly position of the UC3® probe cone. Clinical outcome as regards the IOP and the surgical wound was very satisfactory. DISCUSSION: In complex cases of refractory glaucoma in which cyclo-destructive surgery is limited for anatomical reasons, a complementary oculoplasty technique may be a good option.


Assuntos
Pálpebras/cirurgia , Glaucoma de Ângulo Aberto/cirurgia , Ultrassonografia de Intervenção , Idoso de 80 Anos ou mais , Feminino , Humanos , Procedimentos Cirúrgicos Oftalmológicos/métodos
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