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Secondary acute angle closure glaucoma after 25-gauge pars plana vitrectomy for a macular hole: a case report.
J Med Case Rep
October 2024
Department of Ophthalmology, Saitama Red Cross Hospital, Saitama, Japan.
Article Synopsis
- - A 61-year-old woman experienced acute angle-closure glaucoma in her pseudophakic eye after undergoing a 25-gauge pars plana vitrectomy for a macular hole, despite initially having an uncomplicated surgery.
- - The patient had to maintain a face-down position post-surgery, which, combined with gas tamponade, may have led to increased intraocular pressure and the development of glaucoma, characterized by a severe rise in pressure (53 mmHg) and iris bombe.
- - The condition was treated successfully with a laser peripheral iridotomy, which helped lower the intraocular pressure and ultimately closed the macular hole, illustrating the complex post-operative scenarios that can arise in eye surgeries.
Article Synopsis
- - Three Japanese patients with pseudoexfoliation syndrome (PEX) successfully underwent intrascleral intraocular lens (IOL) fixation after challenges with traditional fixation methods due to zonular weakness.
- - Each case utilized a double-needle technique for IOL fixation six to eight weeks after initial cataract surgery, with adjustments like anterior vitrectomy in case two to address complications.
- - The procedure resulted in positive outcomes, with no serious complications; preserving the lens capsule during fixation helped reduce intraoperative risks and complications, though the long-term safety of this approach needs further investigation.
Two-year retrospective review of lens-induced glaucoma in Hospital Taiping, Perak, Malaysia.
Med J Malaysia
July 2024
Universiti Sains Malaysia, School of Medical Sciences, Department of Ophthalmology and Visual Science, Kubang Kerian, Kelantan, Malaysia.
Article Synopsis
- Delayed cataract surgery can lead to lens-induced glaucoma (LIG), and a study in Malaysia analyzed the demographics and outcomes of patients with LIG who underwent surgery between 2019 and 2020.* -
- Out of 3233 cataract surgeries, 24 patients with LIG were studied; most were over 60 years old, primarily Malay, and presented with severe visual impairment and high intraocular pressure.* -
- Post-surgery, a majority of patients experienced significant improvement in intraocular pressure and visual acuity, although some faced complications, highlighting the need for timely cataract treatment to prevent serious conditions like LIG.*
Surgeries and Outcomes in Subluxated and Dislocated Lens in Eastern Nepal.
Nepal J Ophthalmol
July 2023
Nepal Eye Hospital, Tripureshwor, Kathmandu, Nepal.
Introduction: Many ocular or systemic conditions can cause weakening of the zonules, leading to subluxation or complete dislocation of lens into the anterior chamber or vitreous cavity.
Objectives: To evaluate the outcome of surgery in cases with subluxated and dislocated lens.
Materials And Methods: Retrospective chart review of all cases with subluxated and dislocated lens who underwent surgery in a one-year period from 2019 January to 2019 December was conducted.
Cataract surgery is frequently and successfully performed in the developed world. The indications for the operation have shifted on one hand towards healthier patients seeking freedom from glasses and on the other hand towards more complex cases. How should the patient be informed? What complications can occur intraoperatively, and what treatment options are available for these complications?This article offers a focus on conditions such as zonulopathy and pseudoexfoliation that can pose challenges to cataract surgery.
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