Late hypotony as a complication of viscocanalostomy: a case report

Journal of Glaucoma
Bella GavrilovaGünter K Krieglstein

Abstract

We report a long-term hypotony syndrome after deep sclerectomy, associated with intermittent rise in intraocular pressure (IOP) due to steroid response. A 55-year-old woman with high myopia (RE -9.25, LE -10.50) suffering from uncontrolled pigment open-angle glaucoma, despite laser trabeculoplasty and a cyclodestructive procedure, underwent an uneventful viscocanalostomy. Intraocular pressure was between 9 and 17 mm Hg with local steroid medication 5 times a day, but became unstable with steroid reduction to 3 times a day and the patient developed hypotonous IOP (3-5 mm Hg) in the fourth postoperative month. With intensification of local steroid therapy, IOP rose to 49 mm Hg, and a reduction in medication was followed by hypotony. The instability of IOP with steroid medication could not be controlled and the IOP response due to steroids diminished with time; a long-term hypotony syndrome with maculopathy developed. Surgical inspection 10 months later with repeated preparation of the scleral flap showed (like ultrasound biomicroscope examination) a normal status after viscocanalostomy, without signs of leakage. Late hypotony syndrome should be considered as a potential complication of viscocanalostomy, perhaps especially in case...Continue Reading

References

Feb 1, 1986·Archives of Ophthalmology·J M RudermanD G Campbell
Jun 1, 1996·The British Journal of Ophthalmology·A G ChiouR Faggioni
May 1, 1997·Klinische Monatsblätter für Augenheilkunde·E SanchezA Mermoud
Jan 10, 1998·Journal of Cataract and Refractive Surgery·O KayikçioğluC Akkin
Nov 3, 1998·The British Journal of Ophthalmology·G HäringB Wiechens
Feb 20, 1999·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·O SchwennN Pfeiffer
Mar 18, 1999·Journal of Cataract and Refractive Surgery·P Sourdille
Mar 18, 1999·Journal of Cataract and Refractive Surgery·R StegmannD Miller
Mar 18, 1999·Journal of Cataract and Refractive Surgery·A MermoudR Faggioni
Apr 21, 1999·The British Journal of Ophthalmology·M E KarlenA Mermoud
Jun 1, 2000·Journal of Cataract and Refractive Surgery·E Dahan, M U Drusedau
Jun 1, 2000·Journal of Cataract and Refractive Surgery·S MilazzoM A Leviel
Oct 6, 2000·Journal of Cataract and Refractive Surgery·M U DrüsedauB von Barsewisch
Oct 12, 2000·Eye·A Mermoud
Dec 22, 2000·American Journal of Ophthalmology·K Unlü, A Aksünger
Feb 13, 2001·Ophthalmology·P A Netland, UNKNOWN Ophthalmic Technology Assessment Committee Glaucoma Panel, American Academy of Ophthalmology
Feb 28, 2001·Journal of Cataract and Refractive Surgery·H F Machemer, S Roters
Jul 31, 2001·American Journal of Ophthalmology·G Sunaric-Mégevand, P M Leuenberger
Sep 22, 2001·Journal of Cataract and Refractive Surgery·M HamelA Mermoud
Mar 7, 2002·Current Opinion in Ophthalmology·Yves Lachkar, Pascale Hamard
Mar 29, 2002·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·M Yamin, C D Quentin

❮ Previous
Next ❯

Citations

Nov 26, 2008·Survey of Ophthalmology·Efstratios MendrinosTarek Shaarawy

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
T KlinkF Grehn
Ophthalmology
P A Netland, Ophthalmic Technology Assessment Committee Glaucoma Panel, American Academy of Ophthalmology
Journal of Glaucoma
Javier Moreno-Montañés, Rosa Rodríguez-Conde
© 2021 Meta ULC. All rights reserved