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Related Concept Videos

Glaucoma: Overview01:25

Glaucoma: Overview

704
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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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.
Drugs such as carbonic anhydrase inhibitors, α2- and...
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Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

632
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...
632

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BILATERAL CYSTOID MACULAR EDEMA AFTER BIMATOPROST IMPLANTS.

Shivam H Patel1, Ayesha Badar, Saaquib Bakhsh

  • 1Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, Indiana.

Retinal Cases & Brief Reports
|August 26, 2022
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Summary

Bimatoprost implant (Durysta) injections for glaucoma may cause cystoid macular edema. Patients experiencing vision loss after receiving the implant should be monitored for this condition.

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Area of Science:

  • Ophthalmology
  • Glaucoma treatment
  • Macular edema

Background:

  • Primary open-angle glaucoma is a progressive optic neuropathy.
  • Bimatoprost implant (Durysta) is a sustained-release formulation for glaucoma management.

Observation:

  • A case report details a 93-year-old woman treated with bilateral bimatoprost implants for primary open-angle glaucoma.
  • The patient experienced decreased visual acuity in both eyes following the injections.

Findings:

  • Bilateral cystoid macular edema was diagnosed as the cause of vision loss.
  • The condition improved with topical corticosteroid treatment.

Implications:

  • Bimatoprost implant (Durysta) may induce cystoid macular edema in some patients.
  • Post-injection monitoring for visual acuity decline is crucial, especially in high-risk individuals.