Alternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy

Naoki Ozeki1, Kenya Yuki1, Itaru Kimura1,21Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan, 2Department of Ophthalmology, Juntendo University Urayasu Hospital, Chiba, JapanPurpose: To report the role of Healon5TM injection combined with medications in patient with malig...

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Autores principales:	Naoki Ozeki, Kenya Yuki, Itaru Kimura
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/42799a8c012e440e9e3816611294c042
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spelling	oai:doaj.org-article:42799a8c012e440e9e3816611294c0422021-12-02T07:29:03ZAlternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy1177-54671177-5483https://doaj.org/article/42799a8c012e440e9e3816611294c0422010-04-01T00:00:00Zhttp://www.dovepress.com/alternative-approach-to-treating-malignant-glaucoma-after-trabeculecto-a4319https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Naoki Ozeki1, Kenya Yuki1, Itaru Kimura1,21Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan, 2Department of Ophthalmology, Juntendo University Urayasu Hospital, Chiba, JapanPurpose: To report the role of Healon5TM injection combined with medications in patient with malignant glaucoma after trabeculectomy with unplanned zonulectomy.Methods: Two days after trabeculectomy with unplanned zonulectomy for neovascular glaucoma in an eye with diabetic retinopathy, a patient developed malignant glaucoma due to the ciliovitreal block caused by the vitreous herniation through the peripheral iridectomy to the limbal incision with flat bleb and anterior chamber, and the intraocular pressure was elevated to 33 mmHg. The medications for the management of malignant glaucoma failed to relieve the malignant mechanism, and Healon5TM, a viscoadaptive, viscoelastic, and ophthalmic viscosurgical device, was injected through a paracentesis until the anterior chamber became deep enough to block the vitreous herniation to the limbal incision. Results: After Healon5TM injection, the intraocular pressure was reduced enough that the bleb was re-formed, and the anterior chamber remained deep, even without medication.Conclusions: In patients presenting with malignant glaucoma after trabeculectomy with unplanned zonulectomy, Healon5TM injection, combined with medications, may be a safe and effective approach before performing vitrectomy.Keywords: malignant glaucoma, unplanned zonulectomy, ophthalmic viscosurgical device, corneal endothelial cell Naoki OzekiKenya YukiItaru KimuraDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 383-385 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Naoki Ozeki Kenya Yuki Itaru Kimura Alternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy
description	Naoki Ozeki1, Kenya Yuki1, Itaru Kimura1,21Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan, 2Department of Ophthalmology, Juntendo University Urayasu Hospital, Chiba, JapanPurpose: To report the role of Healon5TM injection combined with medications in patient with malignant glaucoma after trabeculectomy with unplanned zonulectomy.Methods: Two days after trabeculectomy with unplanned zonulectomy for neovascular glaucoma in an eye with diabetic retinopathy, a patient developed malignant glaucoma due to the ciliovitreal block caused by the vitreous herniation through the peripheral iridectomy to the limbal incision with flat bleb and anterior chamber, and the intraocular pressure was elevated to 33 mmHg. The medications for the management of malignant glaucoma failed to relieve the malignant mechanism, and Healon5TM, a viscoadaptive, viscoelastic, and ophthalmic viscosurgical device, was injected through a paracentesis until the anterior chamber became deep enough to block the vitreous herniation to the limbal incision. Results: After Healon5TM injection, the intraocular pressure was reduced enough that the bleb was re-formed, and the anterior chamber remained deep, even without medication.Conclusions: In patients presenting with malignant glaucoma after trabeculectomy with unplanned zonulectomy, Healon5TM injection, combined with medications, may be a safe and effective approach before performing vitrectomy.Keywords: malignant glaucoma, unplanned zonulectomy, ophthalmic viscosurgical device, corneal endothelial cell
format	article
author	Naoki Ozeki Kenya Yuki Itaru Kimura
author_facet	Naoki Ozeki Kenya Yuki Itaru Kimura
author_sort	Naoki Ozeki
title	Alternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy
title_short	Alternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy
title_full	Alternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy
title_fullStr	Alternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy
title_full_unstemmed	Alternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy
title_sort	alternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/42799a8c012e440e9e3816611294c042
work_keys_str_mv	AT naokiozeki alternativeapproachtotreatingmalignantglaucomaaftertrabeculectomywithunplannedzonulectomy AT kenyayuki alternativeapproachtotreatingmalignantglaucomaaftertrabeculectomywithunplannedzonulectomy AT itarukimura alternativeapproachtotreatingmalignantglaucomaaftertrabeculectomywithunplannedzonulectomy
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Alternative approach to treating malignant glaucoma after trabeculectomy with unplanned zonulectomy

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