AQUEOUS MISDIRECTION SYNDROME - A COMPLICATION OF NEODYMIUM-YAG POSTERIOR CAPSULOTOMY

被引:28
作者
MASTROPASQUA, L [1 ]
CIANCAGLINI, M [1 ]
CARPINETO, P [1 ]
LOBEFALO, L [1 ]
GALLENGA, PE [1 ]
机构
[1] UNIV CHIETI,INST OPHTHALMOL,CHIETI,ITALY
关键词
INTRAOCULAR PRESSURE; MALIGNANT GLAUCOMA; NEODYMIUM-YAG LASER; POSTERIOR CAPSULOTOMY;
D O I
10.1016/S0886-3350(13)80238-6
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A 50-year-old, white, pseudophakic man who had a neodymium:YAG (Nd:YAG) posterior capsulotomy for capsule opacification developed a persistent rise in intraocular pressure (IOP) associated with a flat anterior chamber. Full-thickness patent iridotomy performed with an Nd:YAG laser did not reduce IOP. A-scan ultrasonography showed aqueous pockets in the vitreous, leading to a diagnosis of malignant glaucoma. Medical therapy comprising atropine, phenylephrine, mannitol, and acetazolamide normalized IOP and resolved the clinical findings.
引用
收藏
页码:563 / 565
页数:3
相关论文
共 13 条
[1]  
Aron-Rosa DS, Aron JJ, Cohn HC, Use of a pulsed picosecond Nd:YAG laser in 6,664 cases, Am Intra-Ocular Implant Soc J, 10, pp. 35-39, (1984)
[2]  
Keates RH, Steinert RF, Puliafito CA, Maxwell SK, Longterm follow-up of Nd:YAG laser posterior capsulotomy, Am Intra-Ocular Implant Soc J, 10, pp. 164-168, (1984)
[3]  
Demer JL, Koch DD, Smith JA, Knolle GE, Persistent elevation in intraocular pressure after Nd:YAG laser treatment, Ophthalmic Surg, 17, pp. 465-466, (1986)
[4]  
Kraff MC, Sanders DR, Lieberman HL, Intraocular pressure and the corneal endothelium after neodymium-YAG laser posterior capsulotomy
[5]  
relative effects of aphakia and pseudophakia, Arch Ophthalmol, 103, pp. 511-514, (1985)
[6]  
Doro D, Mantovani E, Sala M, Moro F, Echographic findings in malignant glaucoma, Doc Ophthalmol Proc Ser, 53, pp. 405-409, (1990)
[7]  
Gallenga PE, Echographic classification of diseases of the vitrous body, Diagnostica Ultrasonica in Ophthalmologia
[8]  
Proceedings of the 4th SIDUO Congress, Paris, Centre National d'Ophthalmol des Quinze-Vingts, Paris, pp. 163-168, (1971)
[9]  
Rossi A, Gallenga PE, Ultrasonographic features of the senile vitreous body, Ultra-sonographia Medica 11, pp. 247-253, (1971)
[10]  
Ober RR, Wilkinson CP, Fiore JV, Maggiano JM, Rhegmatogenous retinal detachment after NeodymiumYAG laser capsulotomy in phakic and pseudophakic eyes, Am J Ophthalmol, 101, pp. 81-89, (1986)