Glaucoma agudo en paciente con Artisán ® por bloqueo trabecular tras tratamiento combinado intravítreo por edema macular
- Valverde-Megias, A.
- Donate Lopez, Juan
- Torres Imaz, R.
- Díaz Valle, David
- Arriola Villalobos, Pedro
- Jimenez Santos, María Aurelia
- García Feijoo, Julián
ISSN: 0365-6691
Year of publication: 2013
Volume: 88
Issue: 3
Pages: 120-122
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Case report We present a 71-year-old patient with an Artisan® implant and macular oedema associated with unsatisfactory response to repeated intravitreal corticosteroids. An intravitreal Trigon® and Avastin® combined injection was given, and acute glaucoma developed. Anterior chamber washout was performed to resolve the rise in intraocular pressure. In spite of an excellent macular response, this was only temporary, and the corneal endothelium, which had remained competent so far, suffered irreversible damage. Discussion The combination of both treatments, along with the particular anatomic features in these patients, may have been precipitating factors in this unfortunate outcome.