Journal of Current Glaucoma Practice

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VOLUME 7 , ISSUE 1 ( January-April, 2013 ) > List of Articles

CASE REPORT

Laser Treatment to avoid Trabeculectomy and to recover the Aqueous Outflow after Iris Incarceration in a Patient with NPDS

Alfonso Vasquez Perez, Jorge Loscos Arenas, Julio De La Camara Hermoso

Keywords : Glaucoma, Gonioscopy, Intraocular pressure, Trabeculectomy

Citation Information : Vasquez Perez A, Loscos Arenas J, Camara Hermoso JD. Laser Treatment to avoid Trabeculectomy and to recover the Aqueous Outflow after Iris Incarceration in a Patient with NPDS. J Curr Glaucoma Pract 2013; 7 (1):36-37.

DOI: 10.5005/jp-journals-10008-1134

License: CC BY-NC 4.0

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The advantages of the nonpenetrating deep sclerectomy (NPDS) compared with the trabeculectomy are based on faster recovery and lower incidence of complications. The incarceration of the iris at the trabeculo-Descemet\'s membrane is one complication of NPDS and leads frequently to the reoperation of the patient. We report one case operated of NPDS with iris incarceration post-Nd:YAG goniopuncture in which we also documented spontaneous returning of the prolapsed iris during gonioscopy 3 hours after the onset of symptoms. With an argon laser iridoplasty, the iris returned completely to its position and a wide Nd:YAG laser iridotomy prevented recurrences. After this episode, the patient have always had intraocular pressure measures lower than 15 mm Hg.


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