Your browser doesn't support javascript.
loading
Pars plana vitrectomy in the management of phakic and pseudophakic malignant glaucoma.
Harbour, J W; Rubsamen, P E; Palmberg, P.
Afiliação
  • Harbour JW; Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, Fla.
Arch Ophthalmol ; 114(9): 1073-8, 1996 Sep.
Article em En | MEDLINE | ID: mdl-8790091
OBJECTIVE: To determine the indications for and outcome of pars plana vitrectomy in the management of phakic and pseudophakic malignant glaucoma. DESIGN: Retrospective review. SETTING: Tertiary referral ophthalmic hospital. PATIENTS: Twenty-two patients (24 eyes) who underwent pars plana vitrectomy in the management of malignant glaucoma. RESULTS: Fourteen eyes were phakic and 10 were pseudophakic at the initial vitrectomy. The primary indication for vitrectomy was failure of other therapies. In phakic eyes, the initial vitrectomy was successful in terminating malignant glaucoma without further surgery in 7 (100%) of 7 eyes that underwent lensectomy and in 5 (71%) of 7 eyes that not did not undergo lensectomy. The primary indication for lensectomy was corneal edema caused by lens-corneal touch. In pseudophakic eyes, the initial vitrectomy was successful in 9 (90%) of 10 eyes. Removal of the intraocular lens was performed in 1 eye. Perioperative complications included transient serous choroidal detachment in 2 eyes, transient exudative retinal detachment in 1 eye, and suprachoroidal hemorrhage in 1 eye. CONCLUSIONS: Pars plana vitrectomy is effective in treating phakic and pseudophakic malignant glaucoma. Success is contingent on establishing a pathway for aqueous flow into the anterior chamber, which usually is accompanied by intraoperative deepening of the anterior chamber. In phakic eyes, lensectomy may be considered for marked corneal edema, for dense cataract, or when the anterior chamber will not deepen during vitrectomy.
Assuntos
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vitrectomia / Glaucoma de Ângulo Fechado / Glaucoma de Ângulo Aberto / Lentes Intraoculares Tipo de estudo: Observational_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 1996 Tipo de documento: Article
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vitrectomia / Glaucoma de Ângulo Fechado / Glaucoma de Ângulo Aberto / Lentes Intraoculares Tipo de estudo: Observational_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 1996 Tipo de documento: Article