[Goniosynechiae as a complication of non-penetrating deep sclerectomy by inappropriate use of mydriatic: case report].
Non-penetrating deep sclerectomy has been an alternative to trabeculectomy, because it has the advantage of reducing intraocular pressure (IOP), without penetrating the anterior chamber. Thus, it avoids a sudden decompression and a plain anterior chamber. In this paper, we described a case of a female patient, 53 years old, black, with diagnosis of open-angle primary glaucoma, with unsatisfactory clinical control and who was submitted to non-penetrating deep sclerectomy. The patient developed goniosynechiae at the site of the sclerectomy, after inappropriate use of mydriatic eye-drops during the postoperative period, leading to an increase of IOP and, therefore, failure of the surgery. The use of mydriatic eye-drops during the postoperative period of deep sclerectomy is not indicated, because in this case, it led to surgery failure.
Vaz
Rinalva Tenório
RT
Departamento de Glaucoma, Instituto Benjamin Constant, Rio de Janeiro, RJ, Brasil. rtvaz2@hotmail.com
Silva
Patricia Capua Vieira da
PC
Colombini
Giovanni Nicola Umberto Italiano
GN
D000867:Anterior Chamber; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D008875:Middle Aged; D009184:Mydriatics / Q000008:administration & dosage / Q000009:adverse effects*; D009883:Ophthalmic Solutions; D012599:Sclerostomy / Q000009:adverse effects*; D014331:Tropicamide / Q000008:administration & dosage / Q000009:adverse effects*
D009184:Mydriatics; D009883:Ophthalmic Solutions; D014331:Tropicamide