title: Combination of Nd:Yag laser-induced subconjunctival bleeding and intracameral viscoelastic injection to treat hypotony maculopathy.
abstract: A 38-year-old man with primary open-angle glaucoma who had undergone trabeculectomy with mitomycin-C developed macular folds consistent with hypotony maculopathy. The patient was successfully treated with a combination of Neodymium:yttrium-aluminum-garnet (Nd:YAG) laser-induced subconjunctival bleeding and injection of a viscoelastic substance into the anterior chamber. The combination of Nd:YAG laser-induced subconjunctival bleeding with intracameral viscoelastic injection appears to be a reasonable alternative to autologous blood injection and may be tried as first-line treatment for hypotony maculopathy caused by overfiltration.
authors.affiliation: Department of Ophthalmology, University Clinic Hospital, San Juan, Bosco 15, 50009 Zaragoza, Spain.
authors.forename: F J
authors.initials: FJ
authors.lastname: Ascaso
authors.forename: E
authors.initials: E
authors.lastname: Loras
authors.forename: J A
authors.initials: JA
authors.lastname: Cristobal
mesh_terms: D000328:Adult; D000867:Anterior Chamber / Q000187:drug effects; D000903:Antibiotics, Antineoplastic; D003131:Combined Modality Therapy; D003229:Conjunctival Diseases / Q000209:etiology*; D005130:Eye Hemorrhage / Q000209:etiology*; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage*; D007267:Injections; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D016685:Mitomycin; D015814:Ocular Hypotension / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012164:Retinal Diseases / Q000209:etiology / Q000601:surgery*; D014130:Trabeculectomy; D016896:Treatment Outcome
chemical_list: D000903:Antibiotics, Antineoplastic; D016685:Mitomycin; D006820:Hyaluronic Acid