Pars plana vitrectomy and lamina cribrosa puncture in absolute glaucoma.
Two patients with refractory end-stage glaucoma who had no light perception underwent pars plana vitrectomy and lamina cribrosa puncture to relieve pain and decrease intraocular pressure. The patients presented with blind, painful eyes and high intraocular pressure (> 40 mm Hg). After the procedure, the pain was relieved and the intraocular pressure was lowered in both cases. The patients remained asymptomatic. Pars plana vitrectomy and lamina cribrosa puncture might be related to the decrease of intraocular pressure, probably by facilitating drainage of aqueous humor through the optic nerve.
Quiroz-Mercado
Hugo
H
Asociación Para Evitar la Ceguera en México, Hospital Dr. Luis Sánchez Bulnes, México City, México.
Alvarez-Celorio
Dolores
D
Martinez-Jardon
Susana
S
Guerrero-Naranjo
Jose Luis
JL
Gil-Carrasco
Felix
F
Solis
Soledad
S
Cekic
Osman
O
D000328:Adult; D005260:Female; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D009898:Optic Disk / Q000601:surgery*; D009901:Optic Nerve Diseases / Q000601:surgery*; D011677:Punctures / Q000379:methods*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*