Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy

Assessment of Post-Operative Pseudophakic Glaucoma by Ultrasound Biomicroscopy

Pseudophakic glaucoma is a secondary glaucoma in which intra-ocular pressure is elevated following cataract removal. The current study aimed to evaluate the role of ultrasound biomicroscopy (UBM) in assessing post-operative pseudophakic glaucoma. This is a case series, prospective, observational and...

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Bibliographic Details
Published in:Clinical ophthalmology (Auckland, N.Z.) Vol. 14; pp. 1495 - 1501
Main Authors: Ragab, Islam Taher, Abdelkader, Amr Mohammed Elsayed, Kishk, Hanem Mohammad, Elshal, Abdelmohsen Abdelghany
Format: Journal Article
Language:English
Published: New Zealand Dove Medical Press Limited 01-01-2020
Taylor & Francis Ltd
Dove
Dove Medical Press
Subjects:
Age
Analysis
Cataract extraction
Cataracts
Diabetes
Diabetic retinopathy
Eye surgery
Glaucoma
Inflammation
Iris
Original Research
Studies
Ultrasonic imaging
ultrasound biomicroscopy -ubm- pseudophakic glaucoma- hyphaema- neovascularization
UBM
pseudophakic glaucoma
hyphaema
ultrasound biomicroscopy
neovascularization
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Summary:Pseudophakic glaucoma is a secondary glaucoma in which intra-ocular pressure is elevated following cataract removal. The current study aimed to evaluate the role of ultrasound biomicroscopy (UBM) in assessing post-operative pseudophakic glaucoma. This is a case series, prospective, observational and analytical study. It included 29 eyes of 29 patients with post-operative pseudophakic glaucoma. The patients were evaluated by medical history, detailed ophthalmologic examination and UBM. UBM examination has unmasked different causes of pseudophakic glaucoma. The detected causes were classified into 3 main groups, including intraocular lens (IOL)-related causes, lens remnants and intra-ocular inflammation. Haptic-related causes were present in 9 eyes, while 6 eyes had decentered or tilted IOLs. Soemmering's ring was the main cause in 3 eyes while in one eye the cause was lens particle in the anterior chamber (AC). Silicone oil in AC with seclusio pupillae was the main cause in one eye. Peripheral anterior synechiae were detected in 8 eyes while, posterior synechiae were evident in 7 eyes. Uveitis induced by anterior chamber IOL (ACIOL) was found in 3 eyes and one eye had peripheral anterior synechiae due to neovascular glaucoma. UBM is a helpful diagnostic tool to evaluate causes of pseudophakic glaucoma through adequate visualization of different angle structures.
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ISSN:1177-5467
1177-5483
1177-5483
DOI:10.2147/OPTH.S255626