Glaucoma associated with the management of rhegmatogenous retinal detachment

George Mangouritsas, Spyridon Mourtzoukos, Dimitra M Portaliou, Vassilios I Georgopoulos, Anastasia Dimopoulou, Elias Feretis Eye Clinic, General Hospital "Hellenic Red Cross", Athens, Greece Abstract: Transient or permanent elevation of intraocular pressure (IOP) is a common complication...

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Autores principales:	Mangouritsas G, Mourtzoukos S, Portaliou DM, Georgopoulos VI, Dimopoulou A, Feretis E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/17581986161d4103aad973aca7f1e69b
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spelling	oai:doaj.org-article:17581986161d4103aad973aca7f1e69b2021-12-02T05:18:08ZGlaucoma associated with the management of rhegmatogenous retinal detachment1177-54671177-5483https://doaj.org/article/17581986161d4103aad973aca7f1e69b2013-04-01T00:00:00Zhttp://www.dovepress.com/glaucoma-associated-with-the-management-of-rhegmatogenous-retinal-deta-a12759https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483George Mangouritsas, Spyridon Mourtzoukos, Dimitra M Portaliou, Vassilios I Georgopoulos, Anastasia Dimopoulou, Elias Feretis Eye Clinic, General Hospital "Hellenic Red Cross", Athens, Greece Abstract: Transient or permanent elevation of intraocular pressure (IOP) is a common complication following vitreoretinal surgery. Usually secondary glaucoma, which develops after scleral buckling procedures, or pars plana vitrectomy for repair of rhegmatogenous retinal detachment, is of multifactorial origin. It is essential, for appropriate management, to detect the cause of outflow obstruction. An exacerbation of preexisting open-angle glaucoma or a steroid-induced elevation of IOP should also be considered. Scleral buckling may be complicated by congestion and anterior rotation of the ciliary body resulting in secondary angle closure, which can usually resolve with medical therapy. The use of intravitreal gases may also induce secondary angle-closure with or without pupillary block. Aspiration of a quantity of the intraocular gas may be indicated. Secondary glaucoma can also develop after intravitreal injection of silicone oil due to pupillary block, inflammation, synechial angle closure, or migration of emulsified silicone oil in the anterior chamber and obstruction of the aqueous outflow pathway. In most eyes medical therapy is successful in controlling IOP; however, silicone oil removal with or without concurrent glaucoma surgery may also be required. Diode laser transscleral cyclophotocoagulation and glaucoma drainage devices constitute useful treatment modalities for long-term IOP control. Cooperation between vitreoretinal and glaucoma specialists is necessary to achieve successful management. Keywords: retinal detachment, intraocular pressure elevation, glaucoma, vitrectomy, intravitreal gas, silicone oilMangouritsas GMourtzoukos SPortaliou DMGeorgopoulos VIDimopoulou AFeretis EDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 727-734 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Mangouritsas G Mourtzoukos S Portaliou DM Georgopoulos VI Dimopoulou A Feretis E Glaucoma associated with the management of rhegmatogenous retinal detachment
description	George Mangouritsas, Spyridon Mourtzoukos, Dimitra M Portaliou, Vassilios I Georgopoulos, Anastasia Dimopoulou, Elias Feretis Eye Clinic, General Hospital "Hellenic Red Cross", Athens, Greece Abstract: Transient or permanent elevation of intraocular pressure (IOP) is a common complication following vitreoretinal surgery. Usually secondary glaucoma, which develops after scleral buckling procedures, or pars plana vitrectomy for repair of rhegmatogenous retinal detachment, is of multifactorial origin. It is essential, for appropriate management, to detect the cause of outflow obstruction. An exacerbation of preexisting open-angle glaucoma or a steroid-induced elevation of IOP should also be considered. Scleral buckling may be complicated by congestion and anterior rotation of the ciliary body resulting in secondary angle closure, which can usually resolve with medical therapy. The use of intravitreal gases may also induce secondary angle-closure with or without pupillary block. Aspiration of a quantity of the intraocular gas may be indicated. Secondary glaucoma can also develop after intravitreal injection of silicone oil due to pupillary block, inflammation, synechial angle closure, or migration of emulsified silicone oil in the anterior chamber and obstruction of the aqueous outflow pathway. In most eyes medical therapy is successful in controlling IOP; however, silicone oil removal with or without concurrent glaucoma surgery may also be required. Diode laser transscleral cyclophotocoagulation and glaucoma drainage devices constitute useful treatment modalities for long-term IOP control. Cooperation between vitreoretinal and glaucoma specialists is necessary to achieve successful management. Keywords: retinal detachment, intraocular pressure elevation, glaucoma, vitrectomy, intravitreal gas, silicone oil
format	article
author	Mangouritsas G Mourtzoukos S Portaliou DM Georgopoulos VI Dimopoulou A Feretis E
author_facet	Mangouritsas G Mourtzoukos S Portaliou DM Georgopoulos VI Dimopoulou A Feretis E
author_sort	Mangouritsas G
title	Glaucoma associated with the management of rhegmatogenous retinal detachment
title_short	Glaucoma associated with the management of rhegmatogenous retinal detachment
title_full	Glaucoma associated with the management of rhegmatogenous retinal detachment
title_fullStr	Glaucoma associated with the management of rhegmatogenous retinal detachment
title_full_unstemmed	Glaucoma associated with the management of rhegmatogenous retinal detachment
title_sort	glaucoma associated with the management of rhegmatogenous retinal detachment
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/17581986161d4103aad973aca7f1e69b
work_keys_str_mv	AT mangouritsasg glaucomaassociatedwiththemanagementofrhegmatogenousretinaldetachment AT mourtzoukoss glaucomaassociatedwiththemanagementofrhegmatogenousretinaldetachment AT portalioudm glaucomaassociatedwiththemanagementofrhegmatogenousretinaldetachment AT georgopoulosvi glaucomaassociatedwiththemanagementofrhegmatogenousretinaldetachment AT dimopouloua glaucomaassociatedwiththemanagementofrhegmatogenousretinaldetachment AT feretise glaucomaassociatedwiththemanagementofrhegmatogenousretinaldetachment
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Glaucoma associated with the management of rhegmatogenous retinal detachment

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