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WGC-2021

Abstract #82158 Published in IGR 20-4

Chronic fluid misdirection syndrome of aqueous humor after phacoemulsification: diagnosis, treatment and asscociated factors

Muñoz de Escalona Rojas JE; Gascón Ginel MI; Líndez Pérez de Andrade E; Bellido Muñoz RM; Romero Noguera C; Hermoso Fernández FM
Archivos de la Sociedad Espaņola de Oftalmologia 2019; 94: 491-494


The chronic fluid misdirection syndrome of aqueous humor is a rare and serious condition if not treated promptly. The case is presented of a woman attending the emergency department with an intraocular pressure of 43.00mmHg and shallow anterior chamber in her left eye. As clinical history of interest, she had cataract surgery in that eye several weeks before. Following the suspicion of malignant glaucoma, a capsulotomy and iridotomy were performed with an unfavourable outcome. For this reason, it was decided to perform a central vitrectomy, but the patient did not respond to this surgical treatment either. A second surgery was then performed with peripheral vitrectomy, anterior hyaloidectomy, zonulectomy, and iridectomy, obtaining good results. Finally, a decrease in intraocular pressure, and an opening of camerular angle were achieved. Thus, if malignant glaucoma is not resolved in medical consultation with iridotomy and capsulotomy, a vitrectomy, creating a unique chamber that restores the fluid mechanics of the aqueous humor, will be needed.

Unidad de Gestión Clínica de Oftalmología, Hospital Universitario San Cecilio, Granada, España. Electronic address: josenriquemudero@gmail.com.

Full article

Classification:

12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)



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