دورية أكاديمية
[Iris prosthesis in traumatic aniridia as an attempt to control refractory glaucoma induced by silicone oil in the anterior chamber: case report].
| العنوان: | [Iris prosthesis in traumatic aniridia as an attempt to control refractory glaucoma induced by silicone oil in the anterior chamber: case report]. |
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| عنوان ترانسليتريتد: | Prótese de íris, na aniridia traumática, como tentativa de controlar glaucoma refratário provocado pela presença de óleo de silicone na câmara anterior: relato de caso. |
| المؤلفون: | Torres RJ; Instituto da Visão, Universidade Federal de São Paulo, São Paulo, Brazil. rjat@terra.com.br, Luchini A, Torres RJ, Abib FC, Torres RA |
| المصدر: | Arquivos brasileiros de oftalmologia [Arq Bras Oftalmol] 2005 May-Jun; Vol. 68 (3), pp. 389-92. Date of Electronic Publication: 2005 Jul 26. |
| نوع المنشور: | Case Reports; English Abstract; Journal Article |
| اللغة: | Portuguese |
| بيانات الدورية: | Publisher: Conselho Brasileiro de Oftalmologia Country of Publication: Brazil NLM ID: 0400645 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0004-2749 (Print) Linking ISSN: 00042749 NLM ISO Abbreviation: Arq Bras Oftalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: São Paulo : Conselho Brasileiro de Oftalmologia Original Publication: São Paulo. |
| مواضيع طبية MeSH: | Prostheses and Implants*, Aniridia/*etiology , Eye Foreign Bodies/*complications , Iris/*surgery, Adult ; Aniridia/surgery ; Anterior Chamber ; Glaucoma/chemically induced ; Humans ; Male ; Silicone Oils/adverse effects ; Treatment Outcome ; Wounds, Gunshot/complications |
| مستخلص: | The objective of this report is to demonstrate the effectiveness of an iris prosthesis to treat a refractory glaucoma induced by silicone oil in the anterior chamber. This case is about a patient who suffered a trauma caused by firearm shrapnel. A vitreous-retinal surgery was performed to remove intraocular foreign matter and to realign the retina that was detached. Due to the partial traumatic aniridia, silicone oil that was introduced in the vitreous chamber to keep the retina in place migrated to the anterior chamber, resulting in the decrease of endothelium cells and uncontrollable intraocular pressure. We performed transscleral fixation of the iris prosthesis to correct these problems. After a 45-month period of evolution, sight became stable at the 1 meter finger-count distance and intra-ocular pressure at 14 mmHg We may conclude that the triad that consists of lack of: iris diaphragm, aphakia and silicone oil that could not be removed because of inexorable occurrence of detachment of the retina should lead the surgeon to consider transscleral fixation of the iris prosthesis. This procedure might control intraocular pressure and/or preserve corneal transparency, preventing silicone oil from contact with the trabecular net and the corneal endothelium. |
| المشرفين على المادة: | 0 (Silicone Oils) |
| تواريخ الأحداث: | Date Created: 20050802 Date Completed: 20060302 Latest Revision: 20190922 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1590/s0004-27492005000300022 |
| PMID: | 16059575 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0004-2749 |
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| DOI: | 10.1590/s0004-27492005000300022 |