Management of glaucoma after retinal detachment surgery

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Secondary glaucoma may complicate retinal detachment surgery. Intraocular pressure (IOP) elevation has been described after scleral buckling procedures and vitrectomy with intravitreal injection of gas or silicone oil. Angle-closure glaucoma after scleral buckling develops because of congestion and anterior rotation of the ciliary body. Medical therapy and laser iridoplasty are usually successful in controlling IOP, but the presence of conjunctival scarring and recession and retinal hardware after scleral buckling procedures can make surgical management challenging. Intravitreal injection of expansile gases like sulfur hexafluoride (SF6) and perfluoropropene (C3F8) may produce secondary angle-closure glaucoma with or without pupillary block. Aspiration of a portion of the intraocular gas may be needed, especially if IOP is elevated to a level that may compromise ocular perfusion. Glaucoma also can develop after intravitreal injection of silicone oil secondary to pupillary block, inflammation, synechial angle closure, rubeosis iridis, or migration of emulsified or nonemulsified silicone oil into the anterior chamber. A prophylactic inferior iridectomy at the time of surgery serves to prevent pupillary block. Patients with medically uncontrolled glaucoma after silicone oil injection may require oil removal with or without concurrent glaucoma surgery.

Original languageEnglish
Pages (from-to)103-109
Number of pages7
JournalCurrent Opinion in Ophthalmology
Volume13
Issue number2
DOIs
StatePublished - Apr 9 2002

Fingerprint

Silicone Oils
Retinal Detachment
Scleral Buckling
Glaucoma
Intravitreal Injections
Intraocular Pressure
Angle Closure Glaucoma
Gases
Sulfur Hexafluoride
Iridectomy
Ciliary Body
Vitrectomy
Laser Therapy
Anterior Chamber
Cicatrix
Oils
Perfusion
Inflammation
Injections

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Management of glaucoma after retinal detachment surgery. / Gedde, Steven J.

In: Current Opinion in Ophthalmology, Vol. 13, No. 2, 09.04.2002, p. 103-109.

Research output: Contribution to journalArticle

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