Scleral patch as a definitive treatment for hypotonic maculopathy after trabeculectomy

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Is a tight patch necessary after trabeculectomy?

AIMS To determine if post-trabeculectomy patching reduces the prevalence of shallow/flat anterior chambers and pain. METHODS 435 eyes were prospectively randomised to either a double patch with tape or no patch with tape group. RESULTS There was no statistically significant difference in flat or shallow anterior chamber rates or pain symptoms between the patch and no patch groups. CONCLUS...

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Excessive scleral shrinkage, rather than choroidal thickening, is a major contributor to the development of hypotony maculopathy after trabeculectomy

PURPOSE We previously reported that eyes with hypotony maculopathy (HM) after trabeculectomy (TLE) exhibited more reduction of axial length (AL) than those without HM, suggesting that inward collapse of the scleral wall may contribute to the development of HM after TLE. However, we did not evaluate change in choroidal thickness (CT), which could influence AL measures. We compared the magnitude ...

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[Decompression retinopathy with maculopathy after trabeculectomy with mitomycin C].

CASE REPORT We present a case of decompression retinopathy with retinal haemorrhages, optic nerve haemorrhages, maculopathy, and decreased visual acuity after trabeculectomy with mitomycin-C. DISCUSSION Decompression retinopathy is a potential complication after glaucoma surgery but has been rarely reported in the world literature. Although these four characteristics have been described separ...

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Reconstruction of delayed scleral flap melting with bovine pericardium after trabeculectomy with mitomycin C

Aim: To present a challenging case of hypotony after trabeculectomy and its treatment. Case description: A 22-year-old woman with juvenile glaucoma underwent a conventional trabeculectomy with mitomycin C on the right eye (OD). In the immediate postoperative period, we observed a hyperfiltration bleb with hypotony refractory to conservative measures leading to hypotony maculopathy. A surgical r...

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Late-onset Hypotony Maculopathy After Trabeculectomy in a Highly Myopic Patient With Juvenile Open-angle Glaucoma

Hypotony maculopathy is a sight-threatening complication after trabeculectomy. We report on a 34-year-old man with juvenile open-angle glaucoma and high myopia, who developed hypotony maculopathy 14 years after trabeculectomy without bleb leak. This represents the longest known period from trabeculectomy to the development of hypotony maculopathy without bleb leak. The possible mechanisms for t...

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ژورنال

عنوان ژورنال: Revista Brasileira de Oftalmologia

سال: 2016

ISSN: 0034-7280

DOI: 10.5935/0034-7280.20160032