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Related Concept Videos

Open Angle Glaucoma: Treatment01:27

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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
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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 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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Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
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Glaucoma management after vitreoretinal surgeries.

Helen L Kornmann1, Steven J Gedde

  • 1Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida, USA.

Current Opinion in Ophthalmology
|November 24, 2015
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Summary
This summary is machine-generated.

Vitreoretinal surgery can cause glaucoma, often resistant to standard treatments. Management requires medical therapy, with surgical intervention frequently needed for refractory cases to control intraocular pressure (IOP) and prevent vision loss.

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Area of Science:

  • Ophthalmology
  • Retina and Vitreous Surgery
  • Glaucoma Management

Background:

  • Surgical management of retinal disorders can cause temporary intraocular pressure (IOP) spikes.
  • Untreated IOP elevations may lead to long-term glaucomatous damage.
  • Glaucoma following vitreoretinal surgery is often refractory to conventional therapies.

Purpose of the Study:

  • To review treatment strategies for glaucoma in patients with a history of vitreoretinal surgery.
  • To highlight management of refractory glaucoma post-retinal surgery.

Main Methods:

  • Review of current literature on glaucoma management after vitreoretinal procedures.
  • Analysis of treatment modalities including medical, laser, and surgical interventions.

Main Results:

  • Medical therapy is typically the initial approach for IOP control.
  • Laser and surgical therapies are often necessary for sustained IOP elevation and glaucomatous damage.
  • Glaucoma drainage devices are crucial for high-risk cases where filtering surgery may fail.

Conclusions:

  • Previous vitreoretinal surgery is a significant risk factor for developing glaucoma.
  • Refractory glaucoma post-retinal surgery frequently necessitates surgical intervention to manage IOP and prevent further damage.