섬유주절제술 후 홍채절개부를 통한 유리체탈출 1예

• 영문명: A Case of Vitreous Prolapse through Iridectomy Site after Trabeculectomy
• 발행기관: 대한안과학회
• 저자명: 김민욱 이효경 강신희 신민철,Min Uk Kim, MD, Hyou Kyung Lee, MD, Shin Hee Kang, MD, Min Chul Shin, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number4, 602~606쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.04.15

영문 초록

Purpose: To report the results of anterior vitrectomy for obstruction of the aqueous outflow shunt by prolapsed vitreous strands after trabeculectomy. Case summary: Trabeculectomy was performed on a pseudophakic primary open angle glaucoma patient with uncontrolled intraocular pressure under maximum tolerable medical therapy. Three months after trabeculectomy, the bleb flattened and the intraocular pressure elevated. On gonioscopic examination, vitreous strands prolapsed through the iridectomy site obstructing the inner ostium. The maximum tolerable medical therapy and Nd:YAG laser vitreolysis were attempted, but the intraocular pressure was not controlled. Anterior vitrectomy was performed to remove the prolapsed vitreous strands. After anterior vitrectomy, the bleb regained filtering function and the intraocular pressure was stabilized. Conclusions: In a case with a prolapsed vitreous into the anterior chamber obstructing the outflow shunt of the aqueous humor after trabeculectomy, anterior vitrectomy showed therapeutic effects. J Korean Ophthalmol Soc 2012;53(4):602-606

키워드

Anterior vitrectomy, Trabeculectomy, Vitreous prolapse