Transpupillary Argon Laser Cyclophotocoagulation in a Refractory Traumatic Glaucoma Patient with Aphakia and Aniridia

We present a case of transpupillary argon laser cyclophotocoagulation (TALC) in a patient with traumatic aniridia and aphakia secondary to blunt trauma who had previous bilateral trabeculectomy. Four months after the trauma the patient’s intraocular pressure (IOP) rose to 35 mmHg despite topical a...

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Main Authors: Umut Duygu Uzunel, Berna Yüce, Tuncay Küsbeci
Format: Article
Language:English
Published: Galenos Yayinevi 2016-01-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://www.oftalmoloji.org/article_10313/Transpupillary-Argon-Laser-Cyclophotocoagulation-In-A-Refractory-Traumatic-Glaucoma-Patient-With-Aphakia-And-Aniridia
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author Umut Duygu Uzunel
Berna Yüce
Tuncay Küsbeci
author_facet Umut Duygu Uzunel
Berna Yüce
Tuncay Küsbeci
author_sort Umut Duygu Uzunel
collection DOAJ
description We present a case of transpupillary argon laser cyclophotocoagulation (TALC) in a patient with traumatic aniridia and aphakia secondary to blunt trauma who had previous bilateral trabeculectomy. Four months after the trauma the patient’s intraocular pressure (IOP) rose to 35 mmHg despite topical antiglaucomatous medication. Inferior 180 degrees cyclophotocoagulation was performed with transpupillary argon laser in the first session and his IOP fell to values of 12-17 mmHg. Twelve weeks after TALC, his IOP rose to 22 mmHg and we had to apply TALC to the residual ciliary processes. Seven months later his IOP was 13 mmHg with topical dorzolamide/timolol and latanoprost administration. TALC may be an effective treatment alternative for lowering IOP in patients with visible ciliary processes who do not respond to conventional medical or laser treatment.
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spelling doaj.art-4fe86c6dfb1148b880fea36d42b415822023-02-15T16:07:45ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612016-01-01461384010.4274/tjo.22230Transpupillary Argon Laser Cyclophotocoagulation in a Refractory Traumatic Glaucoma Patient with Aphakia and AniridiaUmut Duygu Uzunel0Berna Yüce1Tuncay Küsbeci2İzmir Education and Research Hospital, Ophthalmology Clinic, İzmir, TurkeyGiresun University Faculty of Medicine, Department of Ophthalmology, Giresun, Turkeyİzmir Education and Research Hospital, Ophthalmology Clinic, İzmir, TurkeyWe present a case of transpupillary argon laser cyclophotocoagulation (TALC) in a patient with traumatic aniridia and aphakia secondary to blunt trauma who had previous bilateral trabeculectomy. Four months after the trauma the patient’s intraocular pressure (IOP) rose to 35 mmHg despite topical antiglaucomatous medication. Inferior 180 degrees cyclophotocoagulation was performed with transpupillary argon laser in the first session and his IOP fell to values of 12-17 mmHg. Twelve weeks after TALC, his IOP rose to 22 mmHg and we had to apply TALC to the residual ciliary processes. Seven months later his IOP was 13 mmHg with topical dorzolamide/timolol and latanoprost administration. TALC may be an effective treatment alternative for lowering IOP in patients with visible ciliary processes who do not respond to conventional medical or laser treatment.http://www.oftalmoloji.org/article_10313/Transpupillary-Argon-Laser-Cyclophotocoagulation-In-A-Refractory-Traumatic-Glaucoma-Patient-With-Aphakia-And-AniridiaTranspupillary argon laser cyclophotocoagulationtraumatic aniridiaaphakiaglaucoma
spellingShingle Umut Duygu Uzunel
Berna Yüce
Tuncay Küsbeci
Transpupillary Argon Laser Cyclophotocoagulation in a Refractory Traumatic Glaucoma Patient with Aphakia and Aniridia
Türk Oftalmoloji Dergisi
Transpupillary argon laser cyclophotocoagulation
traumatic aniridia
aphakia
glaucoma
title Transpupillary Argon Laser Cyclophotocoagulation in a Refractory Traumatic Glaucoma Patient with Aphakia and Aniridia
title_full Transpupillary Argon Laser Cyclophotocoagulation in a Refractory Traumatic Glaucoma Patient with Aphakia and Aniridia
title_fullStr Transpupillary Argon Laser Cyclophotocoagulation in a Refractory Traumatic Glaucoma Patient with Aphakia and Aniridia
title_full_unstemmed Transpupillary Argon Laser Cyclophotocoagulation in a Refractory Traumatic Glaucoma Patient with Aphakia and Aniridia
title_short Transpupillary Argon Laser Cyclophotocoagulation in a Refractory Traumatic Glaucoma Patient with Aphakia and Aniridia
title_sort transpupillary argon laser cyclophotocoagulation in a refractory traumatic glaucoma patient with aphakia and aniridia
topic Transpupillary argon laser cyclophotocoagulation
traumatic aniridia
aphakia
glaucoma
url http://www.oftalmoloji.org/article_10313/Transpupillary-Argon-Laser-Cyclophotocoagulation-In-A-Refractory-Traumatic-Glaucoma-Patient-With-Aphakia-And-Aniridia
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AT bernayuce transpupillaryargonlasercyclophotocoagulationinarefractorytraumaticglaucomapatientwithaphakiaandaniridia
AT tuncaykusbeci transpupillaryargonlasercyclophotocoagulationinarefractorytraumaticglaucomapatientwithaphakiaandaniridia