Recurrence of aqueous misdirection following pars plana vitrectomy in pseudophakic eyes.
Identifieur interne : 003875 ( Ncbi/Merge ); précédent : 003874; suivant : 003876Recurrence of aqueous misdirection following pars plana vitrectomy in pseudophakic eyes.
Auteurs : Paaraj Dave [Inde] ; Aparna Rao [Inde] ; Sirisha Senthil [Inde] ; Nikhil Shreeram Choudhari [Inde]Source :
- BMJ case reports [ 1757-790X ] ; 2015.
English descriptors
- KwdEn :
- Adult, Aqueous Humor (metabolism), Female, Glaucoma (surgery), Humans, Intraocular Pressure (physiology), Male, Middle Aged, Pseudophakia (metabolism), Pseudophakia (physiopathology), Pseudophakia (surgery), Recurrence, Retrospective Studies, Treatment Outcome, Visual Acuity (physiology), Vitrectomy (adverse effects), Vitrectomy (methods).
- MESH :
- adverse effects : Vitrectomy.
- metabolism : Aqueous Humor, Pseudophakia.
- methods : Vitrectomy.
- physiology : Intraocular Pressure, Visual Acuity.
- physiopathology : Pseudophakia.
- surgery : Glaucoma, Pseudophakia.
- Adult, Female, Humans, Male, Middle Aged, Recurrence, Retrospective Studies, Treatment Outcome.
Abstract
We present a retrospective interventional case series of four patients with pseudophakic eye who developed recurrent aqueous misdirection following pars plana vitrectomy (PPV) for malignant glaucoma (MG). The patients were treated with neodymium: YAG (Yttrium Aluminum Garnet) laser hyaloidotomy/membranotomy through the patent peripheral iridectomy. The main outcome measure was resolution of MG. The intervention resulted in resolution of MG in all four cases. The cause for recurrence was an inflammatory membrane covering the hyaloidotomy opening in three eyes and the haptic of intraocular lens blocking the hyaloidotomy opening in one eye. Recurrence of aqueous misdirection even after vitrectomy may be related to obstruction of aqueous flow through the communication created, either by intraocular lens or fibrin. Treatment of this condition involves restoring aqueous flow to the anterior chamber from the anterior vitreous by treating the cause, and most often the YAG laser hyaloidotomy/membranotomy is successful in relieving the condition.
DOI: 10.1136/bcr-2014-207961
PubMed: 25899512
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last="Dave">Paaraj Dave</name><affiliation wicri:level="1"><nlm:affiliation>Department of Glaucoma, Dr TV Patel Eye Institute, Vadodara, Gujarat, India Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Glaucoma, Dr TV Patel Eye Institute, Vadodara, Gujarat, India Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh</wicri:regionArea><wicri:noRegion>Andhra Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Rao, Aparna" sort="Rao, Aparna" uniqKey="Rao A" first="Aparna" last="Rao">Aparna Rao</name><affiliation wicri:level="1"><nlm:affiliation>Department of Glaucoma, LV Prasad Eye Institute, Bhubaneswar, Orissa, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Glaucoma, LV Prasad Eye Institute, Bhubaneswar, Orissa</wicri:regionArea><wicri:noRegion>Orissa</wicri:noRegion></affiliation></author><author><name sortKey="Senthil, Sirisha" sort="Senthil, Sirisha" uniqKey="Senthil S" first="Sirisha" last="Senthil">Sirisha Senthil</name><affiliation wicri:level="1"><nlm:affiliation>Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh</wicri:regionArea><wicri:noRegion>Andhra Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Choudhari, Nikhil Shreeram" sort="Choudhari, Nikhil Shreeram" uniqKey="Choudhari N" first="Nikhil Shreeram" last="Choudhari">Nikhil Shreeram Choudhari</name><affiliation wicri:level="1"><nlm:affiliation>Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh</wicri:regionArea><wicri:noRegion>Andhra Pradesh</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMJ case reports</title><idno type="eISSN">1757-790X</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aqueous Humor (metabolism)</term><term>Female</term><term>Glaucoma (surgery)</term><term>Humans</term><term>Intraocular Pressure (physiology)</term><term>Male</term><term>Middle Aged</term><term>Pseudophakia (metabolism)</term><term>Pseudophakia (physiopathology)</term><term>Pseudophakia (surgery)</term><term>Recurrence</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Visual Acuity (physiology)</term><term>Vitrectomy (adverse effects)</term><term>Vitrectomy (methods)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Vitrectomy</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Aqueous Humor</term><term>Pseudophakia</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Vitrectomy</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Intraocular Pressure</term><term>Visual Acuity</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Pseudophakia</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Glaucoma</term><term>Pseudophakia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Recurrence</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We present a retrospective interventional case series of four patients with pseudophakic eye who developed recurrent aqueous misdirection following pars plana vitrectomy (PPV) for malignant glaucoma (MG). The patients were treated with neodymium: YAG (Yttrium Aluminum Garnet) laser hyaloidotomy/membranotomy through the patent peripheral iridectomy. The main outcome measure was resolution of MG. The intervention resulted in resolution of MG in all four cases. The cause for recurrence was an inflammatory membrane covering the hyaloidotomy opening in three eyes and the haptic of intraocular lens blocking the hyaloidotomy opening in one eye. Recurrence of aqueous misdirection even after vitrectomy may be related to obstruction of aqueous flow through the communication created, either by intraocular lens or fibrin. Treatment of this condition involves restoring aqueous flow to the anterior chamber from the anterior vitreous by treating the cause, and most often the YAG laser hyaloidotomy/membranotomy is successful in relieving the condition.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25899512</PMID><DateCreated><Year>2015</Year><Month>04</Month><Day>22</Day></DateCreated><DateCompleted><Year>2016</Year><Month>01</Month><Day>05</Day></DateCompleted><DateRevised><Year>2016</Year><Month>05</Month><Day>19</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1757-790X</ISSN><JournalIssue CitedMedium="Internet"><Volume>2015</Volume><PubDate><Year>2015</Year></PubDate></JournalIssue><Title>BMJ case reports</Title><ISOAbbreviation>BMJ Case Rep</ISOAbbreviation></Journal><ArticleTitle>Recurrence of aqueous misdirection following pars plana vitrectomy in pseudophakic eyes.</ArticleTitle><Pagination><MedlinePgn></MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/bcr-2014-207961</ELocationID><ELocationID EIdType="pii" ValidYN="Y">bcr2014207961</ELocationID><Abstract><AbstractText>We present a retrospective interventional case series of four patients with pseudophakic eye who developed recurrent aqueous misdirection following pars plana vitrectomy (PPV) for malignant glaucoma (MG). The patients were treated with neodymium: YAG (Yttrium Aluminum Garnet) laser hyaloidotomy/membranotomy through the patent peripheral iridectomy. The main outcome measure was resolution of MG. The intervention resulted in resolution of MG in all four cases. The cause for recurrence was an inflammatory membrane covering the hyaloidotomy opening in three eyes and the haptic of intraocular lens blocking the hyaloidotomy opening in one eye. Recurrence of aqueous misdirection even after vitrectomy may be related to obstruction of aqueous flow through the communication created, either by intraocular lens or fibrin. Treatment of this condition involves restoring aqueous flow to the anterior chamber from the anterior vitreous by treating the cause, and most often the YAG laser hyaloidotomy/membranotomy is successful in relieving the condition.</AbstractText><CopyrightInformation>2015 BMJ Publishing Group Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dave</LastName><ForeName>Paaraj</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Glaucoma, Dr TV Patel Eye Institute, Vadodara, Gujarat, India Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rao</LastName><ForeName>Aparna</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Glaucoma, LV Prasad Eye Institute, Bhubaneswar, Orissa, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Senthil</LastName><ForeName>Sirisha</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Choudhari</LastName><ForeName>Nikhil Shreeram</ForeName><Initials>NS</Initials><AffiliationInfo><Affiliation>Department of Glaucoma, LV Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>04</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Case Rep</MedlineTA><NlmUniqueID>101526291</NlmUniqueID><ISSNLinking>1757-790X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001082">Aqueous Humor</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000378">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005901">Glaucoma</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007429">Intraocular Pressure</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019591">Pseudophakia</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000378">metabolism</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012008">Recurrence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014821">Vitrectomy</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>1</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">bcr-2014-207961</ArticleId><ArticleId IdType="doi">10.1136/bcr-2014-207961</ArticleId><ArticleId IdType="pubmed">25899512</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Dave, Paaraj" sort="Dave, Paaraj" uniqKey="Dave P" first="Paaraj" last="Dave">Paaraj Dave</name></noRegion><name sortKey="Choudhari, Nikhil Shreeram" sort="Choudhari, Nikhil Shreeram" uniqKey="Choudhari N" first="Nikhil Shreeram" last="Choudhari">Nikhil Shreeram Choudhari</name><name sortKey="Rao, Aparna" sort="Rao, Aparna" uniqKey="Rao A" first="Aparna" last="Rao">Aparna Rao</name><name sortKey="Senthil, Sirisha" sort="Senthil, Sirisha" uniqKey="Senthil S" first="Sirisha" last="Senthil">Sirisha Senthil</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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