Glaucoma maligno tras cirugía combinada de implante valvular de Ahmed y facoemulsificación en el tratamiento del glaucoma crónico por cierre angular
- JM Martínez-de-la-Casa
- J García-Feijoó
- A Castillo
- V Polo
- JM Larrosa
- L Pablo
- J García-Sánchez
ISSN: 0365-6691
Year of publication: 2005
Volume: 80
Issue: 11
Pages: 667-670
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
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.
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