Diode laser transscleral cyclophotocoagulation-induced staphyloma following trabeculectomy with mitomycin C.
A 42-year-old man developed progressive scleral iatrogenic staphyloma in the region of a previous trabeculectomy with mitomycin C after three sessions of diode laser transscleral cyclophotocoagulation for a refractory glaucoma secondary to trauma. After clinical and laboratory evaluations, no signs of systemic or autoimmune disorders were found. The patient underwent a reinforcement of the eye wall with a scleral patch over the staphyloma area and a glaucoma drainage device was implanted. Repeated transscleral cyclophotocoagulation procedures should be performed cautiously in patients who have had previous trabeculectomy.
Prata
Tiago S
TS
Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil.
Lima
Verônica C
VC
Pinto
Luciano M
LM
Costa
Elaine F
EF
Melo
Luiz Alberto S
LA
D000328:Adult; D002924:Ciliary Body / Q000601:surgery*; D003131:Combined Modality Therapy; D004108:Dilatation, Pathologic; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007429:Intraocular Pressure; D017075:Laser Coagulation / Q000009:adverse effects*; D054023:Lasers, Semiconductor; D008297:Male; D016685:Mitomycin; D012590:Sclera / Q000473:pathology*; D015422:Scleral Diseases / Q000209:etiology*; D014130:Trabeculectomy
D016685:Mitomycin