Aqueous misdirection following pars plana vitrectomy and silicone oil injection

Hammouda H Ghoraba,1,2 Ali Ahmed Ghali,3 Hosam Othman Mansour2,3 1Tanta University, Tanta, Egypt; 2Magrabi Eye Hospital, Cairo, Egypt; 3Al-Azhar University, Cairo, Egypt Purpose: To report a retrospective series of seven phakic eyes of seven patients suffering from a malignant glaucoma-like syndro...

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Autores principales:	Ghoraba HH, Ghali AA, Mansour HO
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/aab84014719d48a292afbf85a69556d3
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spelling	oai:doaj.org-article:aab84014719d48a292afbf85a69556d32021-12-02T05:14:17ZAqueous misdirection following pars plana vitrectomy and silicone oil injection1177-5483https://doaj.org/article/aab84014719d48a292afbf85a69556d32015-05-01T00:00:00Zhttp://www.dovepress.com/aqueous-misdirection-following-pars-plana-vitrectomy-and-silicone-oil--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hammouda H Ghoraba,1,2 Ali Ahmed Ghali,3 Hosam Othman Mansour2,3 1Tanta University, Tanta, Egypt; 2Magrabi Eye Hospital, Cairo, Egypt; 3Al-Azhar University, Cairo, Egypt Purpose: To report a retrospective series of seven phakic eyes of seven patients suffering from a malignant glaucoma-like syndrome following pars plana vitrectomy and silicone oil (SO) injection.Materials and methods: Seven eyes with retinal detachment treated with pars plana vitrectomy with or without scleral buckling with SO tamponade. This was followed by cataract extraction to manage the elevated intraocular pressure (IOP).Results: This was a retrospective review of seven cases that received pars plana vitrectomy and SO with or without scleral buckling for different causes of retinal detachment (three were rhegmatogenous and four were tractional). After a period ranging from 1 week to 1 month, they presented with malignant glaucoma-like manifestations; high IOP, shallow axial anterior chamber, and remarkable decrease of visual acuity. Atropine eye drops and anti-glaucoma medical treatment (topical and systemic) had been tried but failed to improve the condition. Dramatic decrease of IOP and deepening of the axial anterior chamber was observed in all cases in the first postoperative day after phacoemulsification and posterior chamber foldable intraocular lens implantation with posterior capsulotomy.Conclusion: Aqueous misdirection syndrome may be observed following pars plana vitrectomy and SO tamponade. This must be differentiated from other causes of post vitrectomy glaucoma. Cataract extraction with posterior capsulotomy controls the condition. Keywords: malignant glaucoma, pars plana vitrectomy, silicone oilGhoraba HHGhali AAMansour HODove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 903-906 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Ghoraba HH Ghali AA Mansour HO Aqueous misdirection following pars plana vitrectomy and silicone oil injection
description	Hammouda H Ghoraba,1,2 Ali Ahmed Ghali,3 Hosam Othman Mansour2,3 1Tanta University, Tanta, Egypt; 2Magrabi Eye Hospital, Cairo, Egypt; 3Al-Azhar University, Cairo, Egypt Purpose: To report a retrospective series of seven phakic eyes of seven patients suffering from a malignant glaucoma-like syndrome following pars plana vitrectomy and silicone oil (SO) injection.Materials and methods: Seven eyes with retinal detachment treated with pars plana vitrectomy with or without scleral buckling with SO tamponade. This was followed by cataract extraction to manage the elevated intraocular pressure (IOP).Results: This was a retrospective review of seven cases that received pars plana vitrectomy and SO with or without scleral buckling for different causes of retinal detachment (three were rhegmatogenous and four were tractional). After a period ranging from 1 week to 1 month, they presented with malignant glaucoma-like manifestations; high IOP, shallow axial anterior chamber, and remarkable decrease of visual acuity. Atropine eye drops and anti-glaucoma medical treatment (topical and systemic) had been tried but failed to improve the condition. Dramatic decrease of IOP and deepening of the axial anterior chamber was observed in all cases in the first postoperative day after phacoemulsification and posterior chamber foldable intraocular lens implantation with posterior capsulotomy.Conclusion: Aqueous misdirection syndrome may be observed following pars plana vitrectomy and SO tamponade. This must be differentiated from other causes of post vitrectomy glaucoma. Cataract extraction with posterior capsulotomy controls the condition. Keywords: malignant glaucoma, pars plana vitrectomy, silicone oil
format	article
author	Ghoraba HH Ghali AA Mansour HO
author_facet	Ghoraba HH Ghali AA Mansour HO
author_sort	Ghoraba HH
title	Aqueous misdirection following pars plana vitrectomy and silicone oil injection
title_short	Aqueous misdirection following pars plana vitrectomy and silicone oil injection
title_full	Aqueous misdirection following pars plana vitrectomy and silicone oil injection
title_fullStr	Aqueous misdirection following pars plana vitrectomy and silicone oil injection
title_full_unstemmed	Aqueous misdirection following pars plana vitrectomy and silicone oil injection
title_sort	aqueous misdirection following pars plana vitrectomy and silicone oil injection
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/aab84014719d48a292afbf85a69556d3
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Aqueous misdirection following pars plana vitrectomy and silicone oil injection

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