Scleral burn and perforation following transscleral cyclophotocoagulation
Purpose: This case report highlights scleral perforation as a complication of diode laser transscleral cyclophotocoagulation in the treatment of refractory primary open-angle glaucoma, as well as the management of this complication. Observations: A 78-year-old woman with primary open-angle glaucoma...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993623001019 |
| _version_ | 1827591581986717696 |
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| author | Beau Billings Drew B. Fletcher Alex C. Weaver Mohammad Tahseen Alkaelani Kyle Fallgatter Ramen Daneshvar |
| author_facet | Beau Billings Drew B. Fletcher Alex C. Weaver Mohammad Tahseen Alkaelani Kyle Fallgatter Ramen Daneshvar |
| author_sort | Beau Billings |
| collection | DOAJ |
| description | Purpose: This case report highlights scleral perforation as a complication of diode laser transscleral cyclophotocoagulation in the treatment of refractory primary open-angle glaucoma, as well as the management of this complication. Observations: A 78-year-old woman with primary open-angle glaucoma refractory to medication had transscleral cyclophotocoagulation performed in her left eye. During the procedure, it was noted that conjunctival burns and scleral perforation had occurred, at which point the procedure was aborted. Limited peritomy and patch graft with split-thickness donor cornea was done in the area of the scleral thinning and perforation. The patient had a good outcome with an intraocular pressure of 8 mm Hg, appropriate integration of the patch graft, and no significant conjunctival inflammation at the 2-month post-operative visit. Conclusions and importance: This patient, without any known risk factors for scleral thinning or necrosis, experienced conjunctival burn as well as scleral perforation during transscleral cyclophotocoagulation, underscoring this possible complication of the procedure. Additionally, split-thickness donor cornea was used to patch graft the area of scleral thinning and perforation, which is a method of managing this complication that had not been previously reported. |
| first_indexed | 2024-03-09T01:34:46Z |
| format | Article |
| id | doaj.art-f435d74a5df04975b3df92baf5dce7b4 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-03-09T01:34:46Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-f435d74a5df04975b3df92baf5dce7b42023-12-09T06:07:09ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362023-12-0132101893Scleral burn and perforation following transscleral cyclophotocoagulationBeau Billings0Drew B. Fletcher1Alex C. Weaver2Mohammad Tahseen Alkaelani3Kyle Fallgatter4Ramen Daneshvar5Department of Ophthalmology, University of Florida College of Medicine, 1600 SW Archer Rd, Gainesville, FL, 32608, USAUniversity of Florida College of Medicine, 100243, Gainesville, FL, 32610-0243, USAUniversity of Florida College of Medicine, 100243, Gainesville, FL, 32610-0243, USAFlorida State University College of Medicine, 1115 W Call St, Tallahassee, FL, 32304, USA; Corresponding author.Department of Ophthalmology, University Pittsburgh, 1622 Locust St, Pittsburgh, PA, 15219, USADepartment of Ophthalmology, University of Florida College of Medicine, 1600 SW Archer Rd, Gainesville, FL, 32608, USAPurpose: This case report highlights scleral perforation as a complication of diode laser transscleral cyclophotocoagulation in the treatment of refractory primary open-angle glaucoma, as well as the management of this complication. Observations: A 78-year-old woman with primary open-angle glaucoma refractory to medication had transscleral cyclophotocoagulation performed in her left eye. During the procedure, it was noted that conjunctival burns and scleral perforation had occurred, at which point the procedure was aborted. Limited peritomy and patch graft with split-thickness donor cornea was done in the area of the scleral thinning and perforation. The patient had a good outcome with an intraocular pressure of 8 mm Hg, appropriate integration of the patch graft, and no significant conjunctival inflammation at the 2-month post-operative visit. Conclusions and importance: This patient, without any known risk factors for scleral thinning or necrosis, experienced conjunctival burn as well as scleral perforation during transscleral cyclophotocoagulation, underscoring this possible complication of the procedure. Additionally, split-thickness donor cornea was used to patch graft the area of scleral thinning and perforation, which is a method of managing this complication that had not been previously reported.http://www.sciencedirect.com/science/article/pii/S2451993623001019Diode laser transscleral cyclophotocoagulationPrimary open-angle glaucomaConjunctival burnScleral perforationPatch graft |
| spellingShingle | Beau Billings Drew B. Fletcher Alex C. Weaver Mohammad Tahseen Alkaelani Kyle Fallgatter Ramen Daneshvar Scleral burn and perforation following transscleral cyclophotocoagulation American Journal of Ophthalmology Case Reports Diode laser transscleral cyclophotocoagulation Primary open-angle glaucoma Conjunctival burn Scleral perforation Patch graft |
| title | Scleral burn and perforation following transscleral cyclophotocoagulation |
| title_full | Scleral burn and perforation following transscleral cyclophotocoagulation |
| title_fullStr | Scleral burn and perforation following transscleral cyclophotocoagulation |
| title_full_unstemmed | Scleral burn and perforation following transscleral cyclophotocoagulation |
| title_short | Scleral burn and perforation following transscleral cyclophotocoagulation |
| title_sort | scleral burn and perforation following transscleral cyclophotocoagulation |
| topic | Diode laser transscleral cyclophotocoagulation Primary open-angle glaucoma Conjunctival burn Scleral perforation Patch graft |
| url | http://www.sciencedirect.com/science/article/pii/S2451993623001019 |
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