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

Author(s):  
Daniel Laroche ◽  
Kara Rickford ◽  
Sohail Sakkari
2018 ◽  
Vol 9 (1) ◽  
pp. 179-184
Author(s):  
Ratna Sitompul

Intraocular lens (IOL) dislocation is a rare complication of cataract extraction requiring prompt surgery. This case report aims to raise awareness of such cases and the importance of post-surgery follow-up. A 58-year-old female patient was found with anterior IOL dislocation a week after phacoemulsification surgery in her right eye. Visual acuity of the right eye was 1/60 with ciliary injection and IOL dislocation to the anterior chamber of the right eye. The patient underwent surgery of the right eye and the IOL haptic was found to be broken. In this case report, the factors affecting IOL dislocation are axis length, broken IOL haptic, and patient activity that increased intraocular pressure. Cataract extraction surgery, although common, needs to be conducted carefully, and it is important for ophthalmologists and general practitioners to detect this condition, especially in rural areas where facilities are limited, as IOL dislocation could occur and requires immediate treatment to achieve a better result.


2021 ◽  
pp. 112067212110240
Author(s):  
Luciana Negrão Almeida Morais ◽  
Joacy Pedro Franco David ◽  
João Victor Peres Lima ◽  
Samia Demachki ◽  
Daniel Guerreiro Diniz ◽  
...  

Purpose: To describe a case of a patient presenting with acquired acoria and iris pearls, a rare eye manifestation and pathognomonic finding for leprosy; to reinforce clinical, histopathological, and therapeutic aspects of ocular involvement in leprosy. Methods: Case report. Case description: A 62-year-old male presenting with acquired acoria and iris pearls in both eyes due to leprosy also had anterior uveitis and cataract. Histopathological diagnosis of iris pearls was confirmed by the presence of Hansen’s bacilli. Ophthalmological examination revealed improvement of the visual acuity after iridectomy and extracapsular cataract extraction. Conclusions: To our knowledge, this is the first reported case of acquired acoria in a leprosy patient. It led to impaired vision and reversible blindness. Proper diagnosis and ophthalmological treatment of patients with these conditions are essential for the maintenance of a good quality of life.


2010 ◽  
Vol 24 (2) ◽  
pp. 119 ◽  
Author(s):  
Soo Geun Joe ◽  
Jongyoon Lim ◽  
Joo Yong Lee ◽  
Young Hee Yoon

2017 ◽  
pp. 229-235

Introduction: Treacher Collins syndrome is a congenital craniofacial disorder with unique ocular signs and an increased risk of a variety of visual abnormalities, including strabismus and amblyopia. Although most patients with Treacher Collins syndrome are of average intelligence, it can also be present in patients with intellectual disabilities. Patients with autism spectrum disorder and/or intellectual disability are at risk for developing selfinjurious behavior, which is often directed at the head and face. Traumatic cataracts are one of the more serious injuries that can occur secondary to this behavior. When cataracts become visually significant, extraction is required. After cataract extraction, aphakia can be corrected with intraocular lenses, glasses, or contact lenses. Case Report: A 6-year-old African American male with Treacher Collins syndrome, intellectual disability, hearing impairment, and autism spectrum disorder presented with bilateral traumatic cataracts secondary to selfinjurious behavior. His vision declined rapidly as the cataracts progressed. His mobility became extremely limited and he was no longer able to fixate on faces. After cataract extraction, the patient was left aphakic due to an increased risk of complications from ongoing self-injurious behavior directed at the eyes and face. He was prescribed aphakic sports goggles due to these behaviors and his external ear malformation. He will be considered for secondary intraocular lens implantation in the future. Conclusion: Patients with Treacher Collins syndrome and those who exhibit self-injurious behavior are at an increased risk for developing ocular abnormalities and should be monitored closely. For pediatric patients with cataracts, the decision whether or not to proceed with an intraocular lens insertion should be based on the patient’s behaviors, visual demands, and age. When choosing a treatment approach, it is essential to evaluate the patient’s lifestyle and visual demands, not just the diagnosis.


2014 ◽  
Vol 5 (3) ◽  
pp. 292-296 ◽  
Author(s):  
Dana Barequet ◽  
Elad Moisseiev ◽  
Adi Michaeli ◽  
Gad Dotan

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Poemen P. Chan ◽  
Matthew C.W. Lam ◽  
Nafees Baig

Abstract Background To present an unusual intra-operative complication of micropulse transscleral cyclophotocoagulation (MPTSC). Case presentation A 72-year old Chinese gentleman, who had primary angle closure glaucoma and had received bilateral laser iridotomy, presented with progressive left eye blurred vision (visual acuity of 20/40 OD and 20/200 OS). Examination reviewed left eye central retinal venous occlusion. The intraocular pressure (IOP) was 19 mmHg OS and was on maximally tolerated topical medications. Four weeks later, the left eye was complication by neovascular glaucoma; the IOP was raised to 26 mmHg despite additional oral acetazolamide and remained elevated after pan-retinal photocoagulation as well as cataract extraction by phacoemulsification. MPTSC was performed 8 days after the phacoemulsification. During the procedure, a sudden protrusion was formed on the corneal surface. On-table examination with operating microscope and portable slit-lamp reviewed an intact corneal epithelium with a globular-shaped collection of fluid at the subepithelial layer – acute corneal subepithelial hydrops (ACSH). The anterior chamber was formed and the globe was intact. After approximately 10–15 minutes, the swelling spontaneously ruptured and became a corneal epithelial defect. The defect healed on the tenth day after the event with conservative management. There was no irreversible corneal damage and the patient subsequently underwent a successful second MPTSC of the left eye because of poorly controlled IOP. Conclusion ACSH is a possible intra-operative complication of MPTSC. We have proposed the possible mechanisms of ACSH. It is best to exercise caution when using MPTSC shortly after any incisional intraocular surgery.


2003 ◽  
Vol 42 (149) ◽  
pp. 300-1 ◽  
Author(s):  
O K Malla ◽  
A K Sharma ◽  
S Shrestha

Posterior segment intraocular foreign bodies pose a problem in restoration of significant visual acuity usuallydue to delayed presentation, improper evaluation and management. However, good history taking, meticulousocular examination and proper management can result in reasonable visual acuity in cases of retainedintraocular foreign body in the posterior segment. We are presenting a case report of penetrating oculartrauma with retained intraocular foreign body in the posterior segment. Following intraocular foreignbody removal, core vitrectomy and subsequent cataract extraction, the patient had best corrected visualacuity of 6/9.Key Words: Intraocular foreign body, vitrectomy, cataract.


Sign in / Sign up

Export Citation Format

Share Document