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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pubmed:25899512Le document en format XML
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<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>
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<keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Aqueous Humor</term>
<term>Pseudophakia</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Intraocular Pressure</term>
<term>Visual Acuity</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Pseudophakia</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Glaucoma</term>
<term>Pseudophakia</term>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<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>
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<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>
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