Glaucoma maligno tras cirugía combinada de implante valvular de Ahmed y facoemulsificación en el tratamiento del glaucoma crónico por cierre angular

1. JM Martínez-de-la-Casa
2. J García-Feijoó
3. A Castillo
4. V Polo
5. JM Larrosa
6. L Pablo
7. J García-Sánchez

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DOI: 10.4321/S0365-66912005001100009 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Archivos de la Sociedad Española de Oftalmologia

Resumo

Case report: Simultaneous Ahmed valve implant, combined with phacoemulsification cataract surgery, is a useful therapeutic option for patients with chronic angle-closure glaucoma, when conventional filtering surgery fails. This combined approach permits both control of intraocular pressure and early recovery of visual function. We report the results in five patients successfully treated with this combined procedure, two of whom developed early postoperative malignant glaucoma. Discussion: Predisposing anatomic features in patients with chronic angle-closure glaucoma, associated with sudden anterior chamber decompression and increased postoperative inflammation, may facilitate the development of malignant glaucoma following combined glaucoma implant and phacoemulsification surgery.

Referencias bibliográficas

• Hoffman, KB, Feldman, RM, Budenz, DL, Gedde, SJ, Chacra, GA, Schiffman, JC. (2002). Combined cataract extraction and Baerveldt glaucoma drainage implant: indications and outcomes. Ophthalmology. 109. 1916-1920
• Chung, AN, Aung, T, Wang, JC, Chew, PT. (2004). Surgical outcomes of combined phacoemulsification and glaucoma drainage implant surgery for Asian patients with refractory glaucoma with cataract. Am J Ophthalmol. 137. 294-300
• Coleman, AL, Hill, R, Wilson, MR, Choplin, N, Kotas-Neumann, R, Tam, M. (1995). Initial clinical experience with the Ahmed Glaucoma Valve implant. Am J Ophthalmol. 120. 23-31
• Melamed, S, Cahane, M, Gutman, I, Blumenthal, M. (1991). Postoperative complications after Molteno implant surgery. Am J Ophthalmol. 111. 319-322
• Levene, R. (1972). A new concept of malignant glaucoma. Arch Ophthalmol. 87. 497-506

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