Endoscopic cyclophotocoagulation in refractory glaucoma after osteo-odonto-keratoprosthesis in Stevens-Johnson syndrome: a case report.
OBJECTIVE
To report successful treatment of refractive glaucoma in a patient submitted to osteo-odonto-keratoprosthesis surgery for Stevens-Johnson syndrome.


METHODS
An interventional case report.


RESULTS
The patient is a 62-year-old Indian man with known Stevens-Johnson syndrome since 1972 secondary to tetracycline therapy, with bilateral dry eye and corneal blindness. He underwent symblepharon release surgery with mucous membrane graft in both eyes. Osteo-odonto-keratoprosthesis surgery was later performed on the left eye. He was submitted to 2 Ahmed valve implants to control secondary glaucoma but visual fields continued to worsen; hence, he underwent endoscopic 140° cyclophotocoagulation with a good control of IOP.


CONCLUSIONS
Endoscopic cyclophotocoagulation as alternative treatment provides good results in refractory glaucoma after osteo-odonto-keratoprosthesis surgery.
*Institute of Ophthalmology, University of Modena, Modena, Italy; †Department of Retina, Asociación para Evitar la Ceguera en México IAP, México City, México; ‡Department of Ophthalmology, Surgical Vitreoretinal Unit, "Santa Maria delle Croci" Hospital, Ravenna, Italy; and §Meru District Hospital, Meru Town, Kenya.
Matteo
M
Forlini
Tania
T
Adabache-Guel
Adriana
A
Bratu
Paolo
P
Rossini
Mpekethu Sam
MS
Mingaine
Gian Maria
GM
Cavallini
Cesare
C
Forlini
D003316:Corneal Diseases / Q000601:surgery*; D005901:Glaucoma / Q000628:therapy*; D006801:Humans; D008028:Light Coagulation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation; D011183:Postoperative Complications / Q000628:therapy*; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods*; D013262:Stevens-Johnson Syndrome / Q000150:complications*; D014092:Tooth Root / Q000637:transplantation*; D016896:Treatment Outcome