Síndrome de mala dirección del humor acuoso crónico tras facoemulsificaciónDiagnóstico, tratamiento y factores a tener en cuenta

  1. J.E. Muñoz de Escalona Rojas 1
  2. M.I. Gascón Ginel 1
  3. E. Líndez Pérez de Andrade 1
  4. R.M. Bellido Muñoz 1
  5. C. Romero Noguera 1
  6. F.M. Hermoso Fernández 1
  1. 1 Hospital Universitario San Cecilio
    info

    Hospital Universitario San Cecilio

    Granada, España

Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2019

Volume: 94

Issue: 10

Pages: 491-494

Type: Article

DOI: 10.1016/J.OFTAL.2019.05.015 DIALNET GOOGLE SCHOLAR

More publications in: Archivos de la Sociedad Española de Oftalmologia

Abstract

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 43.00 mmHg 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.

Data source: Dialnet