[Weill-Marchesani syndrome. Late athalamia following antiglaucomatous surgery].
OBJECTIVE
A case of a patient with Weill-Marchesani syndrome who developed a secondary glaucoma due to synechiae in both eyes is described. As intraocular pressure (IOP) could not be controlled with medical treatment in the left eye (LE), the patient underwent glaucoma filtering surgery. IOP was controlled and no complications occurred. However, 15 months later, athalamia stage 1 was diagnosed in the LE, without any alterations in the posterior pole. To solve this complication, a vitrectomy with lens extraction and intraocular lens implantation in the LE was performed. Currently, IOP is 12 mmHg and the anterior chamber remains deep.


CONCLUSIONS
The association of vitrectomy and lens surgery in those cases where there is a predisposition to forward movement of the lens, might reduce intra and postoperative complications.
Maquet Dusart
J A
JA
Servicio de Oftalmología, Hospital Universitario de Valladolid, España. maquet@teleline.es
Dios Castro
E
E
D000015:Abnormalities, Multiple; D000328:Adult; D002387:Cataract Extraction; D003131:Combined Modality Therapy; D004351:Drug Resistance; D004392:Dwarfism; D005260:Female; D005385:Fingers / Q000002:abnormalities; D015812:Glaucoma, Angle-Closure; D006228:Hand Deformities, Congenital; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D032801:Iridectomy; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000002:abnormalities* / Q000601:surgery; D008937:Mitomycins / Q000627:therapeutic use; D018918:Phacoemulsification; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D013449:Sulfonamides / Q000627:therapeutic use; D013577:Syndrome; D013876:Thiophenes / Q000627:therapeutic use; D014130:Trabeculectomy; D014821:Vitrectomy
D008937:Mitomycins; D013449:Sulfonamides; D013876:Thiophenes; C062765:dorzolamide