137 results match your criteria: "Glaucoma Angle Recession"

Purpose: This study aims to present a case involving intermittent bleeding from the iridocorneal angle following gonioscopy-assisted transluminal trabeculotomy (GATT) surgery, followed by the development of ghost cell glaucoma (GCG).

Methods: A 25-year-old man with a history of post-traumatic angle recession glaucoma underwent uneventful 360° GATT surgery.

Results: Two weeks after the surgery, while the reason for the incomplete resolution of hyphema remained unclear, intermittent bleeding from the iridocorneal angle and hemorrhage in the inferior vitreous were observed during the patient's follow-up examination.

View Article and Find Full Text PDF

Purpose: To evaluate the effectiveness of selective laser trabeculoplasty (SLT) in reducing intraocular pressure (IOP) and medication use in treated and untreated eyes of angle recession glaucoma (ARG) patients within a year post procedure.

Methods: A retrospective chart review was conducted on nine ARG patients treated with SLT at George Washington University between January 1, 2008, and January 1, 2022. Patients were excluded if they had no ARG diagnosis, did not undergo SLT, lacked follow-up within one year after SLT, or had undergone laser or glaucoma surgery in the treated or untreated eye within 12 months before SLT.

View Article and Find Full Text PDF
Article Synopsis
  • - The study examined long-term outcomes of Ahmed glaucoma device capsulectomy in pediatric patients over nearly 10 years, focusing on surgical success and post-operative complications.
  • - A total of 22 capsulectomies were reviewed, showing a low success rate of 23% for maintaining acceptable intraocular pressure (IOP) without further procedures, alongside some short-term complications.
  • - The findings suggest that while capsulectomy may not prevent the need for additional surgery in most cases, it can provide temporary relief before other treatment options.
View Article and Find Full Text PDF

Background: Microcephaly with or without chorioretinopathy, lymphedema, or mental retardation is a rare autosomal dominant disease caused by mutations in KIF11 which disrupt EG5 protein function, impacting the development and maintenance of retinal and lymphatic structures due to its expression in the retinal photoreceptor cilia. The primary ocular finding in MCLMR is chorioretinopathy. Additional features can include microphthalmia, angle-closure glaucoma, persistent hyperplastic primary vitreous, cataract, pseudo-coloboma, persistent hyaloid artery, and myopic or hypermetropic astigmatism.

View Article and Find Full Text PDF

Gonioscopy-Assisted Transluminal Trabeculotomy in Angle Recession Glaucoma.

J Glaucoma

November 2024

Department of Ophthalmology and Visual Sciences, Faculty of Medicine, McGill University, Montreal, QC.

Article Synopsis
  • This case report discusses the successful treatment of angle recession (AR) in a 53-year-old man following blunt eye trauma.
  • The patient had a high intraocular pressure (IOP) of 38 mm Hg despite being on four different antiglaucoma medications.
  • After undergoing gonioscopy-assisted transluminal trabeculotomy (GATT), his IOP dramatically dropped to 10 mm Hg the day after surgery and stabilized at 18 mm Hg over a year without any medication.
View Article and Find Full Text PDF
Article Synopsis
  • Slit-lamp gonioscopy is essential in ophthalmology for examining anterior chamber angles and diagnosing various eye conditions, but the conventional method is cumbersome, requiring the juggling of a gonioscopy lens and a smartphone.
  • The article introduces a new universal slit-lamp-mounted gonioscope called IndiGo, created from recycled materials, which simplifies the gonioscopy and goniophotography process.
  • This innovative system allows for easier assessment of eye conditions and the quick sharing of high-quality images with glaucoma specialists, improving efficiency and promoting sustainability in eye care.
View Article and Find Full Text PDF

Imaging Angle Recession Using Anterior Segment OCT.

Ophthalmol Glaucoma

January 2024

Department of Ophthalmology and Visual Sciences, McGill University, Montreal, Quebec, Canada.

View Article and Find Full Text PDF
Article Synopsis
  • Micropulse transscleral cyclophotocoagulation (TSCPC) is being evaluated for its safety and effectiveness in treating refractory glaucoma in a study involving 39 eyes from 31 patients.
  • The procedure showed significant improvement, with intraocular pressure (IOP) reducing from an average of 42.3 mmHg pre-operation to 16.9 mmHg nine months post-operation, resulting in a reduction of nearly 50%.
  • Most patients experienced a decrease in the number of glaucoma medications needed, with a success rate of 60.5% in managing their condition.
View Article and Find Full Text PDF
Article Synopsis
  • * This paper examines potential factors leading to bilateral angle recession, such as airbag deployment during car accidents and other forms of trauma from sports or abuse, which are crucial for early detection and better treatment outcomes.
  • * A specific case study is presented involving a 75-year-old man who experienced bilateral angle recession from an airbag impact, leading to advanced glaucoma in one eye and elevated pressure in the other, marking the first documented instance of this condition associated with airbag deployment.
View Article and Find Full Text PDF
Article Synopsis
  • A new technique for inserting the Ahmed glaucoma valve (AGV) tube into the ciliary sulcus is introduced, utilizing a 4-0 nylon thread as a guide for easier and more precise placement.
  • *The procedure was successfully performed on an 88-year-old woman with complications from glaucoma and a complicated eye history, including trauma and limited pupil dilation.
  • *This method involved using a 23G needle and a specific incision technique to ensure the accurate positioning of the AGV tube in challenging cases.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate early traumatic glaucoma in pediatric patients and identify predictors for needing filtration surgery.
  • Researchers reviewed 85 cases of early traumatic glaucoma from January 2014 to December 2020, categorizing patients into those requiring trabeculectomy and those managed with medications.
  • Findings indicated that severe anterior chamber reactions and corneal microcystic edema were significant predictors for the need for trabeculectomy, highlighting the urgency to address glaucoma to prevent irreversible vision loss.
View Article and Find Full Text PDF

Ocular injury from foam dart (Nerf) blasters: a case series.

Eur J Pediatr

March 2023

Department of Ophthalmology, Affiliated to the Sackler Faculty of Medicine, Tel Aviv Medical Center, Tel Aviv University, 6 Weizmann Street, 64239, Tel-Aviv, Israel.

Unlabelled: To report clinical outcomes following ocular injury from foam dart (nerf) blasters - a spring-loaded toy guns that fire foam-coated darts or bullets at a relatively low velocity. These guns gained popularity in recent years among children and adolescents. Eleven patients with ocular injuries from foam dart blasters were included in this retrospective, single-center study.

View Article and Find Full Text PDF
Article Synopsis
  • Badminton-related ocular injuries are a significant source of blunt eye trauma, and this study focused on the clinical presentations and visual outcomes of affected patients at a Malaysian hospital between 2003 and 2017.
  • The retrospective audit included 23 patients, mainly young adults, with most injuries occurring during single-player games, typically from shuttlecock strikes, and the majority of them not wearing protective eyewear.
  • Results showed that the anterior segment was primarily affected, with hyphaema being the most common presentation, and an average intraocular pressure of 23.5 mmHg at presentation was noted, indicating potential complications affecting vision.
View Article and Find Full Text PDF
Article Synopsis
  • This study investigates the causes and treatments of early-onset ocular hypertension (OHTN) after a specific eye surgery called pars plana vitrectomy with silicone oil, focusing on how effective trabeculectomy is for these patients.
  • A total of 23 patients were analyzed, with inflammation being the leading cause (47.8%), followed by issues related to silicone oil and pupillary block. Most cases responded to medications, but some required trabeculectomy for persistent high eye pressure.
  • The study suggests that trabeculectomy might be beneficial for early-onset OHTN, contrasting with previous findings that it is ineffective for late-onset cases, and encourages further research to confirm these results.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess the effectiveness of penetrating canaloplasty, a new internal drainage procedure, for treating traumatic angle recession glaucoma over one year.
  • In the trial, 40 patients underwent the procedure, resulting in a significant decrease in intraocular pressure (IOP) and a reduction in the use of anti-glaucoma medications.
  • The procedure showed a high success rate, with 87.5% of eyes achieving complete success at 6 months and 89.5% at 12 months, although common complications included hyphema and transient IOP elevation.
View Article and Find Full Text PDF

Purpose: To report a successful ab-interno trabeculotomy with Kahook Dual Blade (KDB) in secondary traumatic angle recession glaucoma in a child and discuss the possible mechanisms of action.

Observations: A 7 years-old boy presented, after a blunt trauma in the left eye, with angular recess surroundings 110° and concomitant intra-ocular pressure (IOP) elevation around 35 mmHg, despite the maximum topical and systemic ocular hypotensive therapy. As there was no glaucomatous neuropathy yet, a KDB ab-interno trabeculotomy was performed.

View Article and Find Full Text PDF

Background: Though various gonioscopy teaching platforms are available, they predominantly comprise of real time scenarios and videos. For a beginner, we suggest providing animations of the real time scenario for cognitive training; and then putting them in real time scenarios for a better concept application and practice.

Purpose: This video highlights the basic tips and tricks needed to perform gonioscopy with metaphorical conceptual learning matching the 2D and 3D animations with real time scenarios.

View Article and Find Full Text PDF

Purpose: To highlight the efficacy of primary Ahmed glaucoma valve implantation in angle recession glaucoma following blunt ocular trauma in Indian eyes.

Design: A retrospective analytical study.

Materials And Methods: This study included 52 patients of angle recession glaucoma, who presented between Mar 2006 to Feb 2016, out of which 38 patients had undergone primary AGV implantation, while the rest were managed with topical anti-glaucoma medications.

View Article and Find Full Text PDF
Article Synopsis
  • In a study of laser trabeculoplasty (LTP) in glaucoma patients, eyes with lower baseline pressure, angle recession, or uveitis had shorter durations of successful pressure control after treatment.
  • A large cohort (79,332 patients) was analyzed, revealing that eyes with higher initial intraocular pressure (IOP) had longer success durations, while factors like angle recession and uveitis significantly increased the risk of treatment failure.
  • Patients not using medications before LTP experienced a median of 197 days without needing additional treatment, indicating that LTP can effectively extend medication-free periods for some individuals.
View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to assess the effectiveness of trabeculectomy with mitomycin-C (trab MMC) in patients with post-traumatic angle recession glaucoma, focusing on 32 phakic eyes that had no previous eye surgeries.
  • - Results indicated a significant reduction in intraocular pressure (IOP) one year post-surgery, with complete success rates of 88% at one year and 77% between two to five years, along with minimal complications.
  • - The findings suggest that trab MMC is a safe and effective treatment for this condition, but also highlight the need to monitor the other eye for potential glaucoma development.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the outcomes and complications associated with sutureless scleral fixated intraocular lens (SFIOL) implantation in patients who suffered from traumatic aphakia in a South Indian eye care center.
  • A total of 45 cases were analyzed, showing significant improvement in visual acuity, although some patients with additional eye issues had poorer outcomes.
  • The findings indicate that while immediate complications were manageable and similar to other studies, longer-term follow-up is necessary to monitor for serious conditions like retinal detachment and glaucoma.
View Article and Find Full Text PDF

The choroidal rupture: current concepts and insights.

Surv Ophthalmol

March 2022

Department of Biomedical and Surgical Sciences, Section of Ophthalmology, University of Perugia, Perugia, Italy.

Article Synopsis
  • - Choroidal rupture is an eye condition caused by trauma, leading to damage in the retinal layers, which can severely impact vision, especially if the macula is involved or there are other underlying health issues.
  • - It presents as a whitish/yellowish crescent-shaped lesion seen during an eye exam, and various imaging techniques can help evaluate the severity and complications.
  • - While there's no specific treatment for choroidal rupture itself, associated complications may require medical intervention, and the text discusses the condition's underlying mechanisms, imaging results, and management strategies for these complications.
View Article and Find Full Text PDF
Article Synopsis
  • - The study analyzed factors influencing the effectiveness of laser trabeculoplasty (LTP) in treating glaucoma by examining data from the IRIS Registry between 2013 and 2018.
  • - Out of 263,480 eyes studied, the overall response rate to LTP was 36.9%, with higher baseline intraocular pressure (IOP) linked to better response rates, while conditions like angle recession and uveitis increased nonresponse likelihood.
  • - The findings suggest that lower baseline IOP and certain eye conditions may lead to poorer treatment responses, emphasizing the need for further research to improve glaucoma management strategies.
View Article and Find Full Text PDF

Purpose: To describe the results of selective laser trabeculoplasty (SLT) in eyes with angle recession glaucoma (ARG). To our knowledge, this is the first report of SLT being used as treatment modality for angle recession glaucoma. Argon laser trabeculoplasty (ALT) was used for ARG but showed a little therapeutic effect.

View Article and Find Full Text PDF