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[Corneal ulcer after intraocular interventions and after cyclocryocoagulation]

G Miele1, B Gloor

  • 1Universitäts-Augenklinik Zürich.

Klinische Monatsblatter Fur Augenheilkunde
|May 1, 1995
PubMed
Summary

Two patients developed eye ulcers after glaucoma treatment and lens implantation. Surgical interventions, including lens exchange and keratoplasty, were necessary to manage these severe complications.

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Area of Science:

  • Ophthalmology
  • Glaucoma Management
  • Corneal Surgery

Background:

  • Secondary glaucoma and Irvine-Gass Syndrome can occur after intraocular lens implantation.
  • Cyclocryocoagulation is a treatment modality for glaucoma.
  • Ocular complications necessitate advanced surgical interventions.

Observation:

  • Two patients presented with neuroparalytic ulcers in the eye.
  • These ulcers developed two months post-cyclocryocoagulation for secondary glaucoma.
  • The glaucoma was secondary to intraocular lens implantation.

Findings:

  • The first patient required anterior chamber lens explantation and posterior chamber lens implantation due to Irvine-Gass Syndrome.
  • The second patient underwent trabeculectomy for secondary glaucoma.
  • Both patients ultimately required keratoplasty (lamellar or perforating) to address corneal damage.

Implications:

  • This case series highlights a potential risk of neuroparalytic ulcers following cyclocryocoagulation in patients with secondary glaucoma post-lens implantation.
  • Corneal integrity is a critical consideration in managing complex glaucoma cases.
  • Advanced surgical techniques like keratoplasty may be essential for visual rehabilitation in such scenarios.

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