Chronic hypotony after trabeculectomy. A case report

Main Article Content

Adam Cywiński
Łukasz Bednarski

Abstract

61-year-old women has undergone trabeculectomy in her left eye, because of progressive glaucomatous neuropathy. Ten years after the surgery a serious impairment of vision was observed. An examination has revealed hypotony and, as a consequence of this, progressive astigmatic hyperopy in this eye. Additionally, a large multicystic filtration bleb has been detected which caused deformation of the eyeball. The patient was qualified to plastic surgery of the conjunctiva and Tenon’s capsule. A gradual intraocular pressure normalization with practical relief of the eye defect and an improvement of visual acuity were obtained.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Cywiński A, Bednarski Łukasz. Chronic hypotony after trabeculectomy. A case report. Ophthatherapy [Internet]. 2016Jun.30 [cited 2024Apr.28];3(2):126-30. Available from: https://journalsmededu.pl/index.php/ophthatherapy/article/view/602
Section
Articles

References

1. Spaeth GL. Indications for surgery. Saunders, Philadelphia 2003: 261-6.
2. Chen TC, Wilensky JT, Viana MA. Long-term follow-up of initially succesfull trabeculectomy. Ophthalmology. 1997; 104(7): 1120-5.
3. Kański JJ, McAllister JA, Salmon JF. Jaskra. In: Niżakowska MH (ed). Kolorowy podręcznik diagnostyki i terapii. Wyd. I pol. Elsevier Urban & Partner, Wrocław 1998; 22: 144.
4. Edmunds B, Thompson JR, Salmon JF et al. The national survey of trabeculectomy. III. Early and late complications. Eye. 2002; 16: 297-303.
5. Henderson HW, Ezra E, Murdoch IE. Early postoperative trabeculectomy leakage: incidence, time course, severity, and impact on surgical outcome. Br J Ophthalmol. 2004; 88(5): 626-9.
6. Azuara-Blanco A, Katz LJ. Dysfunctional filtering bleps. Surg Ophthalmology. 1998; 43(2): 93-126.
7. Detry Morel M, Kittel B. Surface-wrinkling maculopathy as a potential complication of trabeculectomy: a case report. Ophthalmic Surg. 1991; 22: 38-40.
8. Bellows AR. Complications of filtering surgery. In: Albert D, Jakobiec F (ed). Principles and practice of ophthalmology. Saunders, Philadelphia 2000: 2986-98.
9. Vijaya L, Manish P, Ronnie G et al. Management of complications in glaucoma surgery. Indian J Ophthalmol. 2011; 59(suppl 1): S131-40.
10. Haynes WL, Alward WL. Control of intraocular pressure after trabeculectomy. Surv Ophthalmol. 1999; 43(4): 345-55.
11. Trubnik V, Mineola NY. Managing Hypotony After Trabeculectomy. Rev Ophthalmol. 2015; 22(11): 124-8.
12. Liebmann JM, Sokol J, Ritch R. Management of chronic hypotony after glaucoma filtration surgery. J Glaucoma. 1996; 5: 210-20.
13. Hyung SM, Choi MY, Kang SW. Management of Chronic Hypotony Following Trabeculectomy with Mitomycin C. Korean J Ophthalmol. 1997; 11: 15-24.
14. Lipowski P, Aniśko-Słomińska J, Raczyńska K et al. Groźne powikłanie po trabekulektomii u pacjentki z reumatoidalnym zapaleniem stawów. Mag Lek Okul. 2008; 2: 141-6.