Temporary visual loss with ciliary body detachment and hypotony after attempted YAG laser repair of failed filtering surgery.
Ciliary body detachment, hypotony, and visual loss developed within one month after an attempt to reopen a closed filtering bleb with YAG laser treatment. The patient was a 68-year-old black woman who had a previously functioning thermal sclerostomy. YAG laser energy delivered to the sclerosed filtering site ab interno was unsuccessful in restoring patency to the filtering site as judged by clinical examination. Because of hypotony, all glaucoma medications were discontinued. Resolution of the ciliary body detachment with return of vision and stable intraocular pressures occurred after three weeks of intensive topical and systemic corticosteroid treatment.
D000368:Aged; D001766:Blindness / Q000209:etiology* / Q000503:physiopathology; D002924:Ciliary Body; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy; D009123:Muscle Hypotonia / Q000209:etiology*; D011183:Postoperative Complications; D012086:Reoperation; D013997:Time Factors; D014603:Uveal Diseases / Q000209:etiology*