YAG Membranotomy for Persistent Postoperative Fibrinous Pupillary Membrane in an Aphakic Patient with Silicone Oil
ثبت نشده
چکیده
Fibrinous pupillary membranes can develop after intraocular surgery and consist of precipitates of inflammatory cells, pigment and fibrin. Formation of intraocular fibrin following vitrectomy surgery is a potentially serious complication that may lead to surgical failure. They usually can be resolved with topical corticosteroid therapy, but, in some cases, can persist despite aggressive topical treatment [1]. Nd:YAG lasers have been known to be used for the treatment of opacification of the remaining posterior capsule and for the treatment of pupillary membranes after cataract surgery but have never been described for the management of fibrinous pupillary membranes at the SO interface in aphakic patients after PPV [2,3].
منابع مشابه
Basal iridectomy at 6 o'clock in the aphakic eye treated with silicone oil: prevention of keratopathy and secondary glaucoma.
In the aphakic eye, with intact iris diaphragm, silicone oil has frequently caused a pupillary block. In this situation aqueous humour accumulates behind the iris and forces silicone oil through the pupil into the anterior chamber. An iridectomy at the 6 o'clock position can effectively prevent this pupillary block. The iridectomy allows free passage of aqueous to the anterior chamber which rem...
متن کاملAcute glaucoma following vitrectomy and silicone oil injection.
Three cases are described of acute glaucoma following vitrectomy and silicone oil injection in proliferative vitreous retinopathy. The first case developed silicone-induced pupillary block in a phakic eye. Cases 2 and 3 developed elevated pressure in aphakic eyes with deep anterior chambers. Cases 1 and 3 were treated by laser iridectomy. Case 2 was treated by removal of silicone. The pathogene...
متن کاملOne-step extracapsular cataract extraction and silicone oil-injection in the management of proliferative vitreoretinopathy.
A combined technique of extracapsular cataract extraction and silicone oil injection is described. The anterior capsule is preserved to prevent movement of the silicone oil from the vitreous cavity to the anterior chamber. An anterior chamber tap ensures that the vitreous cavity is completely filled with silicone oil, while a peripheral iridectomy prevents postoperative pupillary block glaucoma.
متن کاملEVect of diode laser trans-scleral cyclophotocoagulation in the management of glaucoma after intravitreal silicone oil injection for complicated retinal detachments
Aims—To evaluate the eVect of trans scleral cyclophotocoagulation (TSCPC) on intraocular pressure (IOP) in the eyes retaining intravitreal silicone oil with medically uncontrolled secondary glaucoma following intravitreal silicone oil injection. Methods—Medical records of 11 eyes of 11 patients who underwent TSCPC for medically uncontrolled glaucoma without pupillary block following intravitrea...
متن کاملModification of silicone oil retention sutures in aphakic eyes with iris loss.
Silicone oil (SO) is a long-term intraocular tamponade used for a variety of retinal disorders. In aphakic eyes with an intact iris, the use of an inferior peripheral iridectomy prevents SO prolapse into the anterior chamber, thereby preventing glaucoma and keratopathy. We have developed a technique for preventing SO from entering the anterior chamber in aphakic eyes with iris loss. The techniq...
متن کامل