Cyclodialysis in the treatment of nonhealing secondary glaucoma.
In cases of glaucoma with elevated intra ocular pressure, the first objective of treatment is its reduction and normalization. In cases when excessive pressure has resulted in a loss of vision, the aim of treatment is to attenuate the pain and to improve the comfort of the patient. This paper presents a case of glaucoma secondary to anterior uveitis, resistant to pharmacological treatment. A gonioscopic examination in both eyes revealed a narrowed filtration angle. An ophthalmoscopic examination of the fundus showed partial retinal detachment. The cyclodialysis procedure was performed in both eyes. In the post-surgery period, intraocular pressure (IOP) in both eyes showed a downward tendency. The treatment of glaucoma secondary to anterior uveitis, particularly in its advanced state, often requires the combination of pharmacological treatment with a surgical procedure. Positive results in maintaining the patency of the fistula were observed after the application of a steroid therapy and a regular massage of filtration bleb, which significantly contributed to maintaining IOP at a desired level.
Lew
M
M
Department of Surgery, Faculty of Veterinary Medicine, University of Warmia and Mazury, Oczapowskiego 14, 10-957 Olsztyn, Poland. lew@uwm.edu.pl
Lew
S
S
D000818:Animals; D003956:Dialysis / Q000379:methods / Q000662:veterinary*; D005901:Glaucoma / Q000150:complications / Q000628:therapy / Q000662:veterinary*; D007429:Intraocular Pressure; D014606:Uveitis, Anterior / Q000150:complications / Q000628:therapy / Q000662:veterinary*