Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy

Islam Taher Ragab, Amr Mohammed Elsayed Abdelkader, Hanem Mohammad Kishk, Abdelmohsen Abdelghany Elshal Ophthalmology Department, Faculty of Medicine, Mansoura University, Mansoura, EgyptCorrespondence: Amr Mohammed Elsayed AbdelkaderDepartment of Ophthalmology, Mansoura University Ophthalmic Center...

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Autores principales:	Ragab IT, Abdelkader AME, Kishk HM, Elshal AA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	ultrasound biomicroscopy -ubm- pseudophakic glaucoma- hyphaema- neovascularization Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/d2d24b68dc2f4ca59e9cc7c46e7f32d4
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spelling	oai:doaj.org-article:d2d24b68dc2f4ca59e9cc7c46e7f32d42021-12-02T11:51:00ZAssessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy1177-5483https://doaj.org/article/d2d24b68dc2f4ca59e9cc7c46e7f32d42020-06-01T00:00:00Zhttps://www.dovepress.com/assessment-of-post-operative-pseudophakic-glaucoma-by-ultrasound-biomi-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Islam Taher Ragab, Amr Mohammed Elsayed Abdelkader, Hanem Mohammad Kishk, Abdelmohsen Abdelghany Elshal Ophthalmology Department, Faculty of Medicine, Mansoura University, Mansoura, EgyptCorrespondence: Amr Mohammed Elsayed AbdelkaderDepartment of Ophthalmology, Mansoura University Ophthalmic Center, Faculty of Medicine, Mansoura University, B.O:35516, Mansoura, EgyptTel +20 1004314242Fax +20 502256104Email dramrabdelkader@gmail.comPurpose: Pseudophakic glaucoma is a secondary glaucoma in which intra-ocular pressure is elevated following cataract removal. The current study aimed to evaluate the role of ultrasound biomicroscopy (UBM) in assessing post-operative pseudophakic glaucoma.Patients and Methods: This is a case series, prospective, observational and analytical study. It included 29 eyes of 29 patients with post-operative pseudophakic glaucoma. The patients were evaluated by medical history, detailed ophthalmologic examination and UBM.Results: UBM examination has unmasked different causes of pseudophakic glaucoma. The detected causes were classified into 3 main groups, including intraocular lens (IOL)-related causes, lens remnants and intra-ocular inflammation. Haptic-related causes were present in 9 eyes, while 6 eyes had decentered or tilted IOLs. Soemmering’s ring was the main cause in 3 eyes while in one eye the cause was lens particle in the anterior chamber (AC). Silicone oil in AC with seclusio pupillae was the main cause in one eye. Peripheral anterior synechiae were detected in 8 eyes while, posterior synechiae were evident in 7 eyes. Uveitis induced by anterior chamber IOL (ACIOL) was found in 3 eyes and one eye had peripheral anterior synechiae due to neovascular glaucoma.Conclusion: UBM is a helpful diagnostic tool to evaluate causes of pseudophakic glaucoma through adequate visualization of different angle structures.Keywords: ultrasound biomicroscopy, UBM, pseudophakic glaucoma, hyphaema, neovascularizationRagab ITAbdelkader AMEKishk HMElshal AADove Medical Pressarticleultrasound biomicroscopy -ubm- pseudophakic glaucoma- hyphaema- neovascularizationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1495-1501 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	ultrasound biomicroscopy -ubm- pseudophakic glaucoma- hyphaema- neovascularization Ophthalmology RE1-994
spellingShingle	ultrasound biomicroscopy -ubm- pseudophakic glaucoma- hyphaema- neovascularization Ophthalmology RE1-994 Ragab IT Abdelkader AME Kishk HM Elshal AA Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy
description	Islam Taher Ragab, Amr Mohammed Elsayed Abdelkader, Hanem Mohammad Kishk, Abdelmohsen Abdelghany Elshal Ophthalmology Department, Faculty of Medicine, Mansoura University, Mansoura, EgyptCorrespondence: Amr Mohammed Elsayed AbdelkaderDepartment of Ophthalmology, Mansoura University Ophthalmic Center, Faculty of Medicine, Mansoura University, B.O:35516, Mansoura, EgyptTel +20 1004314242Fax +20 502256104Email dramrabdelkader@gmail.comPurpose: Pseudophakic glaucoma is a secondary glaucoma in which intra-ocular pressure is elevated following cataract removal. The current study aimed to evaluate the role of ultrasound biomicroscopy (UBM) in assessing post-operative pseudophakic glaucoma.Patients and Methods: This is a case series, prospective, observational and analytical study. It included 29 eyes of 29 patients with post-operative pseudophakic glaucoma. The patients were evaluated by medical history, detailed ophthalmologic examination and UBM.Results: UBM examination has unmasked different causes of pseudophakic glaucoma. The detected causes were classified into 3 main groups, including intraocular lens (IOL)-related causes, lens remnants and intra-ocular inflammation. Haptic-related causes were present in 9 eyes, while 6 eyes had decentered or tilted IOLs. Soemmering’s ring was the main cause in 3 eyes while in one eye the cause was lens particle in the anterior chamber (AC). Silicone oil in AC with seclusio pupillae was the main cause in one eye. Peripheral anterior synechiae were detected in 8 eyes while, posterior synechiae were evident in 7 eyes. Uveitis induced by anterior chamber IOL (ACIOL) was found in 3 eyes and one eye had peripheral anterior synechiae due to neovascular glaucoma.Conclusion: UBM is a helpful diagnostic tool to evaluate causes of pseudophakic glaucoma through adequate visualization of different angle structures.Keywords: ultrasound biomicroscopy, UBM, pseudophakic glaucoma, hyphaema, neovascularization
format	article
author	Ragab IT Abdelkader AME Kishk HM Elshal AA
author_facet	Ragab IT Abdelkader AME Kishk HM Elshal AA
author_sort	Ragab IT
title	Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy
title_short	Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy
title_full	Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy
title_fullStr	Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy
title_full_unstemmed	Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy
title_sort	assessment of post-operative pseudophakic glaucoma by ultrasound biomicroscopy
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/d2d24b68dc2f4ca59e9cc7c46e7f32d4
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Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy

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