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Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
Unintentional lens injury in glaucoma surgery
Transactions of the American Ophthalmological Society
|January 1, 1980
Summary
Unsuspected surgical injury to the lens during glaucoma surgery can cause cataracts and severe inflammation. Early recognition and management are crucial to prevent vision loss and complications like intraocular fibroplasia.
Area of Science:
- Ophthalmology
- Surgical Pathology
Background:
- Historical accounts from 1891 noted lens injuries during glaucoma surgery.
- Histologic evidence confirmed lens capsule perforations in post-glaucoma surgery enucleated eyes in 1953.
Purpose of the Study:
- To investigate the continued occurrence of unintentional lens injuries during glaucoma surgery.
- To highlight the clinical significance and consequences of these unsuspected surgical injuries.
Main Methods:
- Analysis of twelve enucleated eyes with lens perforations.
- Review of clinical consultations and case presentations.
- Examination of clinical features and histopathology.
Main Results:
- Unintentional lens injuries still occur during iridectomies, filtrations, and trabeculectomies.
- These injuries often go unrecognized by surgeons.
- Consequences range from cataract formation to phacogenic uveitis and lens subluxation.
Conclusions:
- Unsuspected lens injury is a complication of glaucoma surgery that requires consideration when lens opacities appear postoperatively.
- Prompt lens extraction may be necessary to manage severe phacogenic uveitis and prevent intraocular fibroplasia.
- Prevention and management strategies for unintentional lens injury are discussed.
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