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Glaucoma after chemical burns and radiation
Cornel Ştefan1, Cristina Mihaela Timaru1, Daniela Adriana Iliescu1
1Ophthalmology Department, "Dr. Carol Davila" Central Military Emergency University Hospital, Bucharest, Romania.
Romanian Journal of Ophthalmology
|February 17, 2018
Summary
Chemical burns and irradiation can cause secondary glaucoma, complicating treatment. Management varies from topical medications to surgical interventions, depending on the type and stage of this rare but challenging condition.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Chemical burns, particularly alkali, frequently cause posttraumatic open-angle glaucoma.
- Irradiation can lead to secondary closing-angle glaucoma, influenced by radiation dose and volume.
Purpose of the Study:
- To review the diagnosis and treatment of glaucoma secondary to chemical burns and irradiation.
- To highlight the challenges and available therapeutic options for these rare glaucoma types.
Main Methods:
- Literature review of posttraumatic and postirradiation glaucoma.
- Analysis of treatment strategies including topical medications, laser, and surgical interventions.
Main Results:
- Chemical burn glaucoma often requires complex management due to scarring and complications.
- Irradiation-induced glaucoma typically necessitates laser or surgical treatment, as topical therapies are often ineffective.
Conclusions:
- Glaucoma secondary to chemical burns or irradiation presents unique diagnostic and therapeutic challenges.
- Treatment selection is complex, requiring consideration of disease stage, type, and potential complications.
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