First Author: M.Mogos ROMANIA
Co Author(s): V. Coviltir
Purpose:
To achieve a better visual acuity (VA) in a case of complicated cataract associated with advanced juvenile glaucoma subjected to trabeculotomy 10 years ago.
Setting:
: A 29 years old woman, diagnosed with juvenile glaucoma and subjected to trabeculotomy in 2002 in both eyes, presents with decreased VA in her RE. Examination of the RE shows a posterior subcapsular cataract. The fundus examination reveals a C/D ratio of 0,8 for RE and 0,9 for LE.
Methods:
The surgical management involved the following steps: rupture of the posterior iris synechiae, extracapsular cataract extraction using the irrigation/aspiration technique, foldable posterior chamber intraocular lens implantation of +26,5D. No intraoperative complications occured.
Results:
The outcome of this patient was very good taking into consideration the advanced glaucomatous optic neuropathy. At 6 weeks the BCVA was of 8/10, with an intraocular pressure (IOP) of 18 mmHg and a stationary fundus appearance. There were no postoperative complications.
Conclusions:
For this patient the prognosis is good, considering the controlled IOP values without any antiglaucoma treatment and the absence of perioperative complications. The specific features of this case are represented by the posterior iris synechiae with poor dilatation and the advanced optic neuropathy in a young patient with prior glaucoma surgery.
Financial Disclosure:
None
