Cargando…
Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade
A 69-year-old woman with bilateral primary open-angle glaucoma who underwent cataract extraction with intraocular lens implantation and excisional goniotomy with the Kahook Dual Blade (KDB; New World Medical, Rancho Cucamonga, CA, USA) in both eyes one year prior was referred for evaluation of signi...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Galenos Publishing
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10442746/ https://www.ncbi.nlm.nih.gov/pubmed/37602674 http://dx.doi.org/10.4274/tjo.galenos.2023.60963 |
_version_ | 1785093670108659712 |
---|---|
author | Şimşek, Derya Wagner, Isabella Draper, Christian Şimşek, Tülay Dorairaj, Syril |
author_facet | Şimşek, Derya Wagner, Isabella Draper, Christian Şimşek, Tülay Dorairaj, Syril |
author_sort | Şimşek, Derya |
collection | PubMed |
description | A 69-year-old woman with bilateral primary open-angle glaucoma who underwent cataract extraction with intraocular lens implantation and excisional goniotomy with the Kahook Dual Blade (KDB; New World Medical, Rancho Cucamonga, CA, USA) in both eyes one year prior was referred for evaluation of significant visual acuity loss and pain in the left eye. On initial examination, intraocular pressure in the left eye was 3 mmHg and slit lamp examination revealed normal anterior chamber depth. Gonioscopy revealed a cyclodialysis cleft that was confirmed by anterior segment optical coherence tomography. Prominent chorioretinal folds suggestive of long-standing hypotony maculopathy were observed during fundoscopic examination. The cyclodialysis cleft, thought to be created inadvertently during the KDB goniotomy, resolved after three sessions of argon laser photocoagulation and the patient’s symptoms and visual acuity partially improved. |
format | Online Article Text |
id | pubmed-10442746 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Galenos Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-104427462023-08-23 Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade Şimşek, Derya Wagner, Isabella Draper, Christian Şimşek, Tülay Dorairaj, Syril Turk J Ophthalmol Case Report A 69-year-old woman with bilateral primary open-angle glaucoma who underwent cataract extraction with intraocular lens implantation and excisional goniotomy with the Kahook Dual Blade (KDB; New World Medical, Rancho Cucamonga, CA, USA) in both eyes one year prior was referred for evaluation of significant visual acuity loss and pain in the left eye. On initial examination, intraocular pressure in the left eye was 3 mmHg and slit lamp examination revealed normal anterior chamber depth. Gonioscopy revealed a cyclodialysis cleft that was confirmed by anterior segment optical coherence tomography. Prominent chorioretinal folds suggestive of long-standing hypotony maculopathy were observed during fundoscopic examination. The cyclodialysis cleft, thought to be created inadvertently during the KDB goniotomy, resolved after three sessions of argon laser photocoagulation and the patient’s symptoms and visual acuity partially improved. Galenos Publishing 2023-08 2023-08-19 /pmc/articles/PMC10442746/ /pubmed/37602674 http://dx.doi.org/10.4274/tjo.galenos.2023.60963 Text en © Copyright 2023 by Turkish Ophthalmological Association | Turkish Journal of Ophthalmology, published by Galenos Publishing House. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Şimşek, Derya Wagner, Isabella Draper, Christian Şimşek, Tülay Dorairaj, Syril Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade |
title | Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade |
title_full | Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade |
title_fullStr | Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade |
title_full_unstemmed | Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade |
title_short | Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade |
title_sort | cyclodialysis cleft and hypotony following combined phacoemulsification and excisional goniotomy with the kahook dual blade |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10442746/ https://www.ncbi.nlm.nih.gov/pubmed/37602674 http://dx.doi.org/10.4274/tjo.galenos.2023.60963 |
work_keys_str_mv | AT simsekderya cyclodialysiscleftandhypotonyfollowingcombinedphacoemulsificationandexcisionalgoniotomywiththekahookdualblade AT wagnerisabella cyclodialysiscleftandhypotonyfollowingcombinedphacoemulsificationandexcisionalgoniotomywiththekahookdualblade AT draperchristian cyclodialysiscleftandhypotonyfollowingcombinedphacoemulsificationandexcisionalgoniotomywiththekahookdualblade AT simsektulay cyclodialysiscleftandhypotonyfollowingcombinedphacoemulsificationandexcisionalgoniotomywiththekahookdualblade AT dorairajsyril cyclodialysiscleftandhypotonyfollowingcombinedphacoemulsificationandexcisionalgoniotomywiththekahookdualblade |