Refractory aqueous misdirection syndrome: A possible complication of penetrating keratoplasty.
METHODS
An 85 year-old woman presented with a flat anterior chamber of the left eye, severe ocular hypertension, and a normal ultrasound examination in the day following a penetrating keratoplasty (PK). The clinical status did not respond to maximum medical therapy, laser posterior capsulotomy, anterior hyaloidotomy, and complete 23 G vitrectomy. The patient refused further intervention, and light perception was lost after 6 months of follow-up.


CONCLUSIONS
This is the first report of refractory aqueous misdirection syndrome following primary PK. Despite maximum medical and surgical management efforts, aqueous misdirection syndrome subsequent to primary PK may have a catastrophic outcome.
Servicio de Oftalmología, Hospital Universitario Santa María, Centro Hospitalario Lisboa Norte; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal. Electronic address: ivogama20@hotmail.com.
I
I
Gama
Servicio de Oftalmología, Hospital Universitario Santa María, Centro Hospitalario Lisboa Norte; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal.
W M
WM
Rodrigues
Servicio de Oftalmología, Hospital de las Fuerzas Armadas, Lisboa, Portugal.
H P
HP
Filipe
Servicio de Oftalmología, Hospital Universitario Santa María, Centro Hospitalario Lisboa Norte; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal.
M Y
MY
Faria
Servicio de Oftalmología, Hospital Universitario Santa María, Centro Hospitalario Lisboa Norte; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal.
L D
LD
Almeida
D000369:Aged, 80 and over; D001082:Aqueous Humor; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000209:etiology*; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*
Aqueous misdirection syndrome; Corneal transplantation.; Glaucoma maligno; Malignant glaucoma; Penetrating keratoplasty; Queratoplastia penetrante; Síndrome de dirección inadecuada del humor acuoso; Trasplante de córnea