Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy
Purpose: To report a case of uncontrolled juvenile open angle glaucoma (JOAG), with secondary high axial myopia who presented with scleral melting and uveal prolapse post pars plana-vitrectomy. Observations: A 17-year-old male juvenile glaucoma patient, not known to have any systemic disease underwe...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993622005151 |
| _version_ | 1797904284845604864 |
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| author | Deema E. Jomar Sara AlHilali Mohammed AlMutlak |
| author_facet | Deema E. Jomar Sara AlHilali Mohammed AlMutlak |
| author_sort | Deema E. Jomar |
| collection | DOAJ |
| description | Purpose: To report a case of uncontrolled juvenile open angle glaucoma (JOAG), with secondary high axial myopia who presented with scleral melting and uveal prolapse post pars plana-vitrectomy. Observations: A 17-year-old male juvenile glaucoma patient, not known to have any systemic disease underwent a right eye 23-gauge-pars plana vitrectomy for retinal detachment repair. Three weeks following his surgery he presented complaining of tearing and photophobia in the operated eye in the absence of any ocular pain. Clinical exam revealed enlarged sclerotomy sites with localized conjunctival and episcleral injection, scleral thinning and uveal prolapse. Infectious and serologic work up were obtained to rule out an infectious etiology or underlying autoimmune disease. Patient was successfully managed with topical steroids and a donor scleral patch graft. Conclusion and importance: This report addresses multiple risk factors for a devastating complication that may occur in predisposed patients, with primary or secondary axial myopia and a compromised sclera. This group of patients can be at risk of post-operative scleral melting and thinning and should be identified pre-operatively and monitored closely during their post-operative course. |
| first_indexed | 2024-04-10T09:46:28Z |
| format | Article |
| id | doaj.art-7058cc94b62e4d2d97cc57186b47a6c3 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-04-10T09:46:28Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-7058cc94b62e4d2d97cc57186b47a6c32023-02-17T04:55:08ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362023-03-0129101769Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomyDeema E. Jomar0Sara AlHilali1Mohammed AlMutlak2Corresponding author. Cornea and Anterior Segment Division, King Khaled Eye Specialist Hospital, Uruba Road, Riyadh, 11462, Saudi Arabia.; Cornea and Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi ArabiaCornea and Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi ArabiaCornea and Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi ArabiaPurpose: To report a case of uncontrolled juvenile open angle glaucoma (JOAG), with secondary high axial myopia who presented with scleral melting and uveal prolapse post pars plana-vitrectomy. Observations: A 17-year-old male juvenile glaucoma patient, not known to have any systemic disease underwent a right eye 23-gauge-pars plana vitrectomy for retinal detachment repair. Three weeks following his surgery he presented complaining of tearing and photophobia in the operated eye in the absence of any ocular pain. Clinical exam revealed enlarged sclerotomy sites with localized conjunctival and episcleral injection, scleral thinning and uveal prolapse. Infectious and serologic work up were obtained to rule out an infectious etiology or underlying autoimmune disease. Patient was successfully managed with topical steroids and a donor scleral patch graft. Conclusion and importance: This report addresses multiple risk factors for a devastating complication that may occur in predisposed patients, with primary or secondary axial myopia and a compromised sclera. This group of patients can be at risk of post-operative scleral melting and thinning and should be identified pre-operatively and monitored closely during their post-operative course.http://www.sciencedirect.com/science/article/pii/S2451993622005151Scleral meltUveal prolapsePars plana vitrectomyGlaucomaMyopia |
| spellingShingle | Deema E. Jomar Sara AlHilali Mohammed AlMutlak Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy American Journal of Ophthalmology Case Reports Scleral melt Uveal prolapse Pars plana vitrectomy Glaucoma Myopia |
| title | Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy |
| title_full | Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy |
| title_fullStr | Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy |
| title_full_unstemmed | Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy |
| title_short | Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy |
| title_sort | scleral melt and uveal prolapse following 23 gauge pars plana vitrectomy |
| topic | Scleral melt Uveal prolapse Pars plana vitrectomy Glaucoma Myopia |
| url | http://www.sciencedirect.com/science/article/pii/S2451993622005151 |
| work_keys_str_mv | AT deemaejomar scleralmeltanduvealprolapsefollowing23gaugeparsplanavitrectomy AT saraalhilali scleralmeltanduvealprolapsefollowing23gaugeparsplanavitrectomy AT mohammedalmutlak scleralmeltanduvealprolapsefollowing23gaugeparsplanavitrectomy |