Baerveldt implant for secondary glaucoma due to iris melanoma

Annelie N Tan1, Juliette GMM Hoevenaars1, Carroll AB Webers1, Bertil Damato2, Henny JM Beckers11University Eye Clinic, Maastricht, The Netherlands; 2Ocular Oncology Service Royal Liverpool University Hospital, Liverpool, United KingdomBackground: Proton beam therapy (PBT) is effective in the treatme...

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Autores principales:	Annelie N Tan, Juliette GMM Hoevenaars, Carroll AB Webers, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/4d19a858410e4fb08a6a7ef0b3419a3b
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spelling	oai:doaj.org-article:4d19a858410e4fb08a6a7ef0b3419a3b2021-12-02T07:42:13ZBaerveldt implant for secondary glaucoma due to iris melanoma1177-54671177-5483https://doaj.org/article/4d19a858410e4fb08a6a7ef0b3419a3b2010-05-01T00:00:00Zhttp://www.dovepress.com/baerveldt-implant-for-secondary-glaucoma-due-to-iris-melanoma-a4351https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Annelie N Tan1, Juliette GMM Hoevenaars1, Carroll AB Webers1, Bertil Damato2, Henny JM Beckers11University Eye Clinic, Maastricht, The Netherlands; 2Ocular Oncology Service Royal Liverpool University Hospital, Liverpool, United KingdomBackground: Proton beam therapy (PBT) is effective in the treatment of iris melanoma. Reported complications after PBT are radiation-induced cataract and raised intraocular pressure (IOP). Filtering glaucoma surgery has generally been avoided because of fears of seeding.Case report: A 37-year-old man presented with a self-discovered, pigmented lesion on his right iris. Four years later, the pigmented lesion was diagnosed as an iris melanoma, because of documented growth. The patient was treated with PBT but developed secondary glaucoma one month later. The IOP could not be controlled despite maximal medical therapy and selective laser trabeculoplasty (SLT). Finally, Baerveldt implant surgery was performed, resulting in an IOP lowering to 10 mmHg and stabilization of the glaucomatous visual field loss.Conclusion: Our case demonstrates that Baerveldt implant surgery is a reasonable therapy for glaucoma following successful radiotherapy of iris melanoma.Keywords: iris melanoma, proton beam therapy, secondary glaucoma, Baerveldt implant surgery Annelie N TanJuliette GMM HoevenaarsCarroll AB Weberset alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 407-409 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Annelie N Tan Juliette GMM Hoevenaars Carroll AB Webers et al Baerveldt implant for secondary glaucoma due to iris melanoma
description	Annelie N Tan1, Juliette GMM Hoevenaars1, Carroll AB Webers1, Bertil Damato2, Henny JM Beckers11University Eye Clinic, Maastricht, The Netherlands; 2Ocular Oncology Service Royal Liverpool University Hospital, Liverpool, United KingdomBackground: Proton beam therapy (PBT) is effective in the treatment of iris melanoma. Reported complications after PBT are radiation-induced cataract and raised intraocular pressure (IOP). Filtering glaucoma surgery has generally been avoided because of fears of seeding.Case report: A 37-year-old man presented with a self-discovered, pigmented lesion on his right iris. Four years later, the pigmented lesion was diagnosed as an iris melanoma, because of documented growth. The patient was treated with PBT but developed secondary glaucoma one month later. The IOP could not be controlled despite maximal medical therapy and selective laser trabeculoplasty (SLT). Finally, Baerveldt implant surgery was performed, resulting in an IOP lowering to 10 mmHg and stabilization of the glaucomatous visual field loss.Conclusion: Our case demonstrates that Baerveldt implant surgery is a reasonable therapy for glaucoma following successful radiotherapy of iris melanoma.Keywords: iris melanoma, proton beam therapy, secondary glaucoma, Baerveldt implant surgery
format	article
author	Annelie N Tan Juliette GMM Hoevenaars Carroll AB Webers et al
author_facet	Annelie N Tan Juliette GMM Hoevenaars Carroll AB Webers et al
author_sort	Annelie N Tan
title	Baerveldt implant for secondary glaucoma due to iris melanoma
title_short	Baerveldt implant for secondary glaucoma due to iris melanoma
title_full	Baerveldt implant for secondary glaucoma due to iris melanoma
title_fullStr	Baerveldt implant for secondary glaucoma due to iris melanoma
title_full_unstemmed	Baerveldt implant for secondary glaucoma due to iris melanoma
title_sort	baerveldt implant for secondary glaucoma due to iris melanoma
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/4d19a858410e4fb08a6a7ef0b3419a3b
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Baerveldt implant for secondary glaucoma due to iris melanoma

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