| Pars plana anterior vitrectomy, hyaloido-zonulectomy, and iridectomy for aqueous humor misdirection. | |
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MedLine Citation:
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PMID: 20609709 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report a surgical technique for aqueous misdirection refractory to medical treatment consisting of combined pars plana vitrectomy, hyaloido-zonulectomy, and peripheral iridectomy. DESIGN: Noncomparative case series. METHODS: The charts of 5 pseudophakic patients who sought treatment for aqueous humor misdirection refractory to medical treatment from May 2008 trough February 2009 were reviewed. All 5 patients underwent anterior vitrectomy, hyaloido-zonulectomy, and peripheral iridectomy with an anterior vitrector through a pars plana incision. Main outcome measures were preoperative and postoperative visual acuity, intraocular pressure, medications, slit-lamp examination results, and fundus findings. RESULTS: Five female patients (age range, 23 to 89 years) had increased intraocular pressure and shallowing of the anterior chamber after cataract extraction or trabeculectomy, and none responded to conventional medical therapy. After surgery, prompt resolution of the aqueous misdirection was achieved in all cases. The follow-up was 7.6 months (range, 1 to 13 months). CONCLUSIONS: Aqueous misdirection refractory to medical treatment can be treated successfully with surgery consisting of partial pars plana vitrectomy, hyaloido-zonulectomy, and peripheral iridectomy. |
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Authors:
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Elena Bitrian; Joseph Caprioli |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: American journal of ophthalmology Volume: 150 ISSN: 1879-1891 ISO Abbreviation: Am. J. Ophthalmol. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-08 Completed Date: 2010-07-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370500 Medline TA: Am J Ophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 82-87.e1 Citation Subset: AIM; IM |
Copyright Information:
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2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Jules Stein Eye Institute, University of California Los Angeles, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Anterior Chamber / pathology Aqueous Humor / metabolism* Female Humans Intraocular Pressure / physiology Iridectomy* Laser Coagulation Lasers, Solid-State / therapeutic use Ligaments / surgery* Middle Aged Ocular Hypertension / etiology, metabolism, surgery* Phacoemulsification / adverse effects Trabeculectomy / adverse effects Visual Acuity / physiology Vitrectomy* Vitreous Body / surgery* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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