Ab-interno trabeculotomy with Kahook dual blade in secondary traumatic glaucoma in a child
Purpose: To report a successful ab-interno trabeculotomy with Kahook Dual Blade (KDB) in secondary traumatic angle recession glaucoma in a child and discuss the possible mechanisms of action. Observations: A 7 years-old boy presented, after a blunt trauma in the left eye, with angular recess surroun...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993622001001 |
| _version_ | 1819283886930132992 |
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| author | Laura Silva Reis, MD Ana Elisa Loyola Arancibia, MD Tiago Santos Prata, MD, PhD Fabio Nishimura Kanadani, MD, PhD |
| author_facet | Laura Silva Reis, MD Ana Elisa Loyola Arancibia, MD Tiago Santos Prata, MD, PhD Fabio Nishimura Kanadani, MD, PhD |
| author_sort | Laura Silva Reis, MD |
| collection | DOAJ |
| description | Purpose: To report a successful ab-interno trabeculotomy with Kahook Dual Blade (KDB) in secondary traumatic angle recession glaucoma in a child and discuss the possible mechanisms of action. Observations: A 7 years-old boy presented, after a blunt trauma in the left eye, with angular recess surroundings 110° and concomitant intra-ocular pressure (IOP) elevation around 35 mmHg, despite the maximum topical and systemic ocular hypotensive therapy. As there was no glaucomatous neuropathy yet, a KDB ab-interno trabeculotomy was performed. After KDB's surgery, oral and topical hypotensive medications were gradually withdrawn until complete suspension with IOP levels around 11 mmHg, which has remained the same in the last 2 years. Both functional and structural assessment of glaucoma have maintained stable throughout the follow-up until the present moment. Conclusion and Importance: The KDB has demonstrating a favorable safety profile and a useful surgical technique that should be considered mainly in trabecular glaucomas, as well as those secondary to trauma. Studies are still needed to define which patient and glaucoma profile are the most suitable for the procedure and for how long it is effective. |
| first_indexed | 2024-12-24T01:38:37Z |
| format | Article |
| id | doaj.art-6ac10decffab47d5942f0e1161eac1b0 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-24T01:38:37Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-6ac10decffab47d5942f0e1161eac1b02022-12-21T17:22:07ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-03-0125101354Ab-interno trabeculotomy with Kahook dual blade in secondary traumatic glaucoma in a childLaura Silva Reis, MD0Ana Elisa Loyola Arancibia, MD1Tiago Santos Prata, MD, PhD2Fabio Nishimura Kanadani, MD, PhD3Department of Ophthalmology, Glaucoma Institute of Belo Horizonte, BrazilDepartment of Ophthalmology, Glaucoma Institute of Belo Horizonte, BrazilDepartment of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil; Glaucoma Unit, Hospital Medicina dos Olhos, São Paulo, Brazil; Department of Ophthalmology, Mayo Clinic, Jacksonville, FL, USADepartment of Ophthalmology, Glaucoma Institute of Belo Horizonte, Brazil; Department of Ophthalmology, Mayo Clinic, Jacksonville, FL, USA; Corresponding author. Rua Gonçalves Dias 89, sala 601 Funcionários, Belo Horizonte, MG, ZIP 30140-090, Brazil.Purpose: To report a successful ab-interno trabeculotomy with Kahook Dual Blade (KDB) in secondary traumatic angle recession glaucoma in a child and discuss the possible mechanisms of action. Observations: A 7 years-old boy presented, after a blunt trauma in the left eye, with angular recess surroundings 110° and concomitant intra-ocular pressure (IOP) elevation around 35 mmHg, despite the maximum topical and systemic ocular hypotensive therapy. As there was no glaucomatous neuropathy yet, a KDB ab-interno trabeculotomy was performed. After KDB's surgery, oral and topical hypotensive medications were gradually withdrawn until complete suspension with IOP levels around 11 mmHg, which has remained the same in the last 2 years. Both functional and structural assessment of glaucoma have maintained stable throughout the follow-up until the present moment. Conclusion and Importance: The KDB has demonstrating a favorable safety profile and a useful surgical technique that should be considered mainly in trabecular glaucomas, as well as those secondary to trauma. Studies are still needed to define which patient and glaucoma profile are the most suitable for the procedure and for how long it is effective.http://www.sciencedirect.com/science/article/pii/S2451993622001001Traumatic glaucomaAb-interno trabeculotomyChildren |
| spellingShingle | Laura Silva Reis, MD Ana Elisa Loyola Arancibia, MD Tiago Santos Prata, MD, PhD Fabio Nishimura Kanadani, MD, PhD Ab-interno trabeculotomy with Kahook dual blade in secondary traumatic glaucoma in a child American Journal of Ophthalmology Case Reports Traumatic glaucoma Ab-interno trabeculotomy Children |
| title | Ab-interno trabeculotomy with Kahook dual blade in secondary traumatic glaucoma in a child |
| title_full | Ab-interno trabeculotomy with Kahook dual blade in secondary traumatic glaucoma in a child |
| title_fullStr | Ab-interno trabeculotomy with Kahook dual blade in secondary traumatic glaucoma in a child |
| title_full_unstemmed | Ab-interno trabeculotomy with Kahook dual blade in secondary traumatic glaucoma in a child |
| title_short | Ab-interno trabeculotomy with Kahook dual blade in secondary traumatic glaucoma in a child |
| title_sort | ab interno trabeculotomy with kahook dual blade in secondary traumatic glaucoma in a child |
| topic | Traumatic glaucoma Ab-interno trabeculotomy Children |
| url | http://www.sciencedirect.com/science/article/pii/S2451993622001001 |
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