Case report: Cataract extraction/lensectomy, excisional goniotomy and transscleral cyclophotocoagulation: Affordable combination MIGS for plateau iris glaucoma

被引：5
作者：
Laroche, Daniel [1 ,2 ]
Rickford, Kara [3 ]
Sakkari, Sohail [2 ]
机构：
[1] Icahn Sch Med Mt Sinai, New York Eye & Ear Infirm, 310 E 14th St, New York, NY USA
[2] Adv Eyecare New York, 29 W 127th St, New York, NY USA
[3] New York Med Coll, Sch Med, 40 Sunshine Cottage Rd, Valhalla, NY USA
来源：
JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION | 2022年 / 114卷 / 01期
关键词：
Plateau iris; Goniotomy; Cyclophotocoagulation;   Lensectomy  Combination MIGS; ANGLE-CLOSURE GLAUCOMA; LASER CYCLOPHOTOCOAGULATION; TREATMENT OUTCOMES; LONG;
D O I：
10.1016/j.jnma.2021.12.005
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report the successful treatment of angle closure glaucoma and plateau iris with combined early cataract surgery/lensectomy, goniotomy, and transscleral cyclophotocoagulation. The underlying mechanism of angle closure and plateau iris was addressed with cataract extraction and goniosynechiolysis. Goniotomy was used to enhance trabecular meshwork outflow and lower intraocular pressure, and the "slow burn" transscleral cyclophotocoagulation was safely performed to reduce the size of the ciliary processes. The unique combinations of these procedures restored the iridocorneal angle anatomy to normalize IOP and prevent vision loss from glaucoma in patients with plateau iris. This is a cost-effective option with longer term efficacy.
引用
收藏
页码：38 / 41
页数：4
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