Literature DB >> 26997778

Laser Treatment to avoid Trabeculectomy and to recover the Aqueous Outflow after Iris Incarceration in a Patient with NPDS.

Alfonso Vasquez Perez1, Jorge Loscos Arenas2, Julio De La Camara Hermoso3.   

Abstract

The advantages of the nonpenetrating deep sclerectomy (NPDS) compared with the trabeculectomy are based on faster recovery and lower incidence of complications. The incarceration of the iris at the trabeculo-Descemet's membrane is one complication of NPDS and leads frequently to the reoperation of the patient. We report one case operated of NPDS with iris incarceration post-Nd:YAG goniopuncture in which we also documented spontaneous returning of the prolapsed iris during gonioscopy 3 hours after the onset of symptoms. With an argon laser iridoplasty, the iris returned completely to its position and a wide Nd:YAG laser iridotomy prevented recurrences. After this episode, the patient have always had intraocular pressure measures lower than 15 mm Hg. How to cite this article: Perez AV, Arenas JL, La Camara Hermoso JD. Laser Treatment to avoid Trabeculectomy and to recover the Aqueous Outflow after Iris Incarceration in a Patient with NPDS. J Current Glau Prac 2013;7(1):36-37.

Entities:  

Keywords:  Glaucoma; Gonioscopy; Intraocular pressure; Trabeculectomy.

Year:  2013        PMID: 26997778      PMCID: PMC4741125          DOI: 10.5005/jp-journals-10008-1134

Source DB:  PubMed          Journal:  J Curr Glaucoma Pract        ISSN: 0974-0333


  5 in total

1.  Iris prolapse at the surgical site: a late complication of nonpenetrating deep sclerectomy.

Authors:  Michael Hyams; Orna Geyer
Journal:  Ophthalmic Surg Lasers Imaging       Date:  2003 Mar-Apr

2.  Complications of Neodymium:YAG laser goniopuncture after deep sclerectomy.

Authors:  Marja-Liisa Vuori
Journal:  Acta Ophthalmol Scand       Date:  2003-12

3.  Efficacy and tolerability of nonpenetrating filtering surgery with and without implant in treatment of open angle glaucoma: a quantitative evaluation of the evidence.

Authors:  Jin-Wei Cheng; Rui-Li Wei; Ji-Ping Cai; You Li
Journal:  J Glaucoma       Date:  2009-03       Impact factor: 2.503

4.  Nd:YAG laser goniopuncture after deep sclerectomy: outcomes.

Authors:  Nitin Anand; Rachel Pilling
Journal:  Acta Ophthalmol       Date:  2009-03-19       Impact factor: 3.761

5.  Iris synechia after laser goniopuncture in a patient having deep sclerectomy with a collagen implant.

Authors:  Chan Y Kim; Young J Hong; Gong J Seong; Hyoung J Koh; Sung S Kim
Journal:  J Cataract Refract Surg       Date:  2002-05       Impact factor: 3.351

  5 in total

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