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Related Concept Videos

Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...

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Delayed traumatic phacocele following trabeculectomy.

Karanjit S Kooner1, Stanislav Zhuk

  • 1Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9057, USA. karanjit.kooner@utsouthwestern.edu

Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye
|June 5, 2012
PubMed
Summary
This summary is machine-generated.

A 56-year-old woman experienced lens displacement after blunt eye trauma. The weakened trabeculectomy flap allowed the crystalline lens to move, highlighting risks in glaucoma surgery patients.

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Area of Science:

  • Ophthalmology
  • Glaucoma Surgery
  • Ocular Trauma

Background:

  • Trabeculectomy is a common surgical procedure to reduce intraocular pressure in glaucoma patients.
  • Patients with a history of trabeculectomy may have a weakened scleral flap, potentially increasing risks for ocular complications.
  • Blunt ocular trauma can lead to various intraocular injuries, including lens displacement.

Observation:

  • A 56-year-old female with prior bilateral trabeculectomy presented with acute eye pain, vision loss, hyphema, and hypotony after blunt trauma.
  • Initial examination revealed a partially subluxated crystalline lens, but the globe remained intact.
  • One month later, subconjunctival lens displacement was observed, following severe coughing and sneezing episodes.

Findings:

  • The crystalline lens dislocated into the subconjunctival space through a weakened trabeculectomy scleral flap.
  • A furrow on the flap suggested repeat trauma pushed the lens through the compromised surgical site.
  • The trabeculectomy wound remained intact and self-sealed, despite the lens displacement.

Implications:

  • This case highlights the potential risk of late lens displacement following trabeculectomy, especially after ocular trauma or increased intraocular pressure events.
  • Ophthalmologists should consider the integrity of the scleral flap in patients with a history of trabeculectomy presenting with ocular trauma.
  • Further research may be needed to understand the long-term implications and optimal management of such rare complications.