AUGUST 2009 I CATARACT & REFRACTIVE SURGERY TODAY I 39 T he safety and efficacy of endoscopic cyclophotocoagulation (ECP) for lowering IOP has been confirmed by several long-term studies.1-3 Because this technology allows the surgeon to visualize and apply diode laser energy directly and precisely to the ciliary processes, it is less likely to produce the pain, inflammation, hypotony, and visua...

We report four cases in which a pericardium (Tutoplast) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four cases in which the AGV tube had been exposed, AGV explantation was performed using a pericardium (Tutoplast) plug to seal the defect previously occupied by the tube. After debridement of the fistula, a piece of processed pericardium (Tuto...

w The kfl eye of twelve he&y plgmenled rabbits went under filtering surgery. and were whsequenUy separated Into two different treatment groups. During the surgical procedure the finl group (6 eyes) received MMC 0.4 mg/ml and the mcond *“Iup (5 Eyes) BSS. Sderedonly was performed one hour after surgery and the biopsies were placed in tissue cullore media. Two pdatm of each group were fixed in 97...

Fivecasesofpseudophakicmalignant glaucoma were successfully treated with a single session of contact transscleralcyclophotocoagulation(CTCP) withdiodelaser(twenty4-Jspotsover 360°,1.5mmposterior to the limbus) after failureofNd:YAGlaserhyaloidotomy and vitreolysis. All patients except for case 2 had a preoperative diagnosis of chronic angle-closure glaucoma. At the end of the followup, all the ...

Purpose. To report the incidence and risk factors for postkeratoplasty glaucoma (PKG), as well as its management. Subjects and Methods. 122 eyes, (43% with pseudophakic and aphakic bullous keratopathy (PABK)) which underwent penetrating keratoplasty (PK), were analyzed. Results. The rate of PKG development was 34% within 39 months of follow-up. PABK, corneal perforations, keratitis, and previou...

Trabeculectomy surgery has been shown to lower intraocular pressure and is the most commonly performed glaucoma procedure worldwide. However, giving a patient a 'bleb for life' is not without consequences and the failure of trabeculectomy to control IOP in the long term is well documented. In some instances, such as in patients with exfoliative glaucoma or primary angle closure glaucoma, catara...

Iris melanocytoma is a rare melanocytic nevus with distinctive clinical and pathologic features. Secondary glaucoma may develop rapidly and respond poorly to glaucoma medication in some cases. However, few data are available in the literature with respect to the appropriate treatment for refractory glaucoma associated with iris melanocytoma. Herein, we present a 28-year-old man with blurred vis...