Persistent hypotony following high-intensity focused ultrasound treatment in a glaucomatous eye

Gowri Kolipaka, Mudit Tyagi, S. Senthil
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引用次数: 0

Abstract

We report the case of a 60-year-old female with primary angle-closure glaucoma, who presented with intraocular pressure (IOP) of 0 mmHg, significant cataract, and finger-counting vision in her left eye (LE) following high-intensity focused ultrasound (HIFU) treatment. She underwent LE cataract surgery combined with pars plana vitrectomy, membrane peeling, and silicon oil injection. Postoperatively, hypotony improved, and visual acuity improved to 20/160. One and a half years later, she underwent silicone oil removal (SOR) in view of recovered ciliary secretion and elevated IOP. Post-SOR, IOP remained elevated due to complete synechial closure secondary to prolonged hypotony and the patient is awaiting an incisional surgery. This case highlights the serious vision-threatening complications of persistent hypotony following HIFU treatment. We caution the surgeons regarding the use of HIFU in eyes with good visual potential and discuss the importance of understanding the safety and efficacy of a cycloablative procedure.
青光眼高强度聚焦超声治疗后持续低斜视
我们报告一例60岁女性原发性闭角型青光眼,在高强度聚焦超声(HIFU)治疗后,她的左眼出现眼压(IOP)为0 mmHg,明显的白内障和手指计数视力(LE)。她接受了LE白内障手术,并联合玻璃体切割、膜剥离和硅油注射。术后低斜视改善,视力提高至20/160。一年半后,鉴于睫状体分泌恢复和IOP升高,她接受了硅油去除术。sor术后,由于长时间低斜视导致的协同功能完全闭合,IOP仍然升高,患者正在等待切口手术。本病例强调了HIFU治疗后持续性低斜视的严重视力威胁并发症。我们提醒外科医生注意在视力良好的眼睛中使用HIFU,并讨论了了解环切手术安全性和有效性的重要性。
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发文量
31
审稿时长
27 weeks
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