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Intracameral viscoelastic treatment for hypotony after glaucoma incisional surgery
We report on a minimally invasive treatment of symptomatic hypotony after glaucoma surgery. Hypotony after incisional glaucoma surgery can have severe visual consequences. Refractory symptomatic hypotony often requires surgical intervention to prevent further vision loss. The clinical records of fou...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947745/ https://www.ncbi.nlm.nih.gov/pubmed/31942439 http://dx.doi.org/10.4103/tjo.tjo_31_18 |
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author | Xia, Tian Khouri, Albert S. |
author_facet | Xia, Tian Khouri, Albert S. |
author_sort | Xia, Tian |
collection | PubMed |
description | We report on a minimally invasive treatment of symptomatic hypotony after glaucoma surgery. Hypotony after incisional glaucoma surgery can have severe visual consequences. Refractory symptomatic hypotony often requires surgical intervention to prevent further vision loss. The clinical records of four patients in this interventional case series with symptomatic hypotony and choroidal detachments after incisional glaucoma surgery between 2013 and 2014 were reviewed. Observations were made as the cases progressed. Visual obscuration secondary to refractory hypotony was treated with an intracameral injection of high-molecular-weight ocular viscoelastic devices (HMWOVD). Postinjection, mean intraocular pressure improved from a baseline of 3.6 mm Hg to 24.0, 15.5, and 9 mm Hg at 1 day, 1 month, and 6 months' post-intervention, respectively. The mean visual acuity after injection improved from 20/274 to 20/83 at 6 months. Choroidal detachments resolved within 1 week in all patients. Intracameral HMWOVD for the treatment of symptomatic hypotony post-incisional glaucoma surgery is minimally invasive, avoided reoperation, and led to quick visual recovery. |
format | Online Article Text |
id | pubmed-6947745 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-69477452020-01-15 Intracameral viscoelastic treatment for hypotony after glaucoma incisional surgery Xia, Tian Khouri, Albert S. Taiwan J Ophthalmol Case Report We report on a minimally invasive treatment of symptomatic hypotony after glaucoma surgery. Hypotony after incisional glaucoma surgery can have severe visual consequences. Refractory symptomatic hypotony often requires surgical intervention to prevent further vision loss. The clinical records of four patients in this interventional case series with symptomatic hypotony and choroidal detachments after incisional glaucoma surgery between 2013 and 2014 were reviewed. Observations were made as the cases progressed. Visual obscuration secondary to refractory hypotony was treated with an intracameral injection of high-molecular-weight ocular viscoelastic devices (HMWOVD). Postinjection, mean intraocular pressure improved from a baseline of 3.6 mm Hg to 24.0, 15.5, and 9 mm Hg at 1 day, 1 month, and 6 months' post-intervention, respectively. The mean visual acuity after injection improved from 20/274 to 20/83 at 6 months. Choroidal detachments resolved within 1 week in all patients. Intracameral HMWOVD for the treatment of symptomatic hypotony post-incisional glaucoma surgery is minimally invasive, avoided reoperation, and led to quick visual recovery. Wolters Kluwer - Medknow 2019-12-13 /pmc/articles/PMC6947745/ /pubmed/31942439 http://dx.doi.org/10.4103/tjo.tjo_31_18 Text en Copyright: © 2019 Taiwan J Ophthalmol http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Xia, Tian Khouri, Albert S. Intracameral viscoelastic treatment for hypotony after glaucoma incisional surgery |
title | Intracameral viscoelastic treatment for hypotony after glaucoma incisional surgery |
title_full | Intracameral viscoelastic treatment for hypotony after glaucoma incisional surgery |
title_fullStr | Intracameral viscoelastic treatment for hypotony after glaucoma incisional surgery |
title_full_unstemmed | Intracameral viscoelastic treatment for hypotony after glaucoma incisional surgery |
title_short | Intracameral viscoelastic treatment for hypotony after glaucoma incisional surgery |
title_sort | intracameral viscoelastic treatment for hypotony after glaucoma incisional surgery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947745/ https://www.ncbi.nlm.nih.gov/pubmed/31942439 http://dx.doi.org/10.4103/tjo.tjo_31_18 |
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