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NR. 1/2006
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Jaskra jako
powikłanie w chirurgii witreoretinalnej
Glaucoma as a Vitreoretinal Surgery Complication
Marek Rękas
Klinika Okulistyczna Wojskowego Instytutu Medycznego Centralnego
Szpitala Klinicznego Wojskowej Akademii Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz |
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| Summary: |
The causes of intraocular
pressure increase after vitreoretinal surgeries were
analyzed in this study. Groupings according to practical
aspects of therapy were employed. Increase in
intraocular pressure due to inflammation or uveal edema
is transient in most cases. Parallel therapy with
dorzolamide and 0.5% timolol seems to be sufficient.
Increase in intraocular pressure, developing papillary
block and malignant glaucoma is dangerous to optic nerve.
Therefore it requires definitive therapy. In case of
papillary block it is necessary to perform iridotomy
with Nd: YAG laser. Malignant glaucoma frequently
requires surgical intervention to restore proper
anatomical structures in the anterior chamber and
facilitate proper aqueous humor circulation. It is a big
therapy problem in refractory glaucoma due to emulgated
silicone oil and neovascular glaucoma. In those cases
therapeutic surgery required seton implants. Successful
surgery of the retinal detachment and in case of
diabetic retinopathy as well as in central vain
thrombosis correct photocoagulation prevents neovascular
glaucoma development. |
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| Key words: |
secondary glaucoma,
vitreoretinal surgery. |
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