학술논문
Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade.
Document Type
Article
Source
Subject
*GLAUCOMA diagnosis
*PHACOEMULSIFICATION
*GLAUCOMA
*INTRAOCULAR pressure
*MINIMALLY invasive procedures
*EYE abnormalities
*CATARACT surgery
*VISUAL acuity
*UVEAL diseases
*TRABECULECTOMY
*EYE diseases
*DISEASE complications
GLAUCOMA surgery
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Language
ISSN
1300-0659
Abstract
A 69-year-old woman with bilateral primary open-angle glaucoma who underwent cataract extraction with intraocular lens implantation and excisional goniotomy with the Kahook Dual Blade (KDB; New World Medical, Rancho Cucamonga, CA, USA) in both eyes one year prior was referred for evaluation of significant visual acuity loss and pain in the left eye. On initial examination, intraocular pressure in the left eye was 3 mmHg and slit lamp examination revealed normal anterior chamber depth. Gonioscopy revealed a cyclodialysis cleft that was confirmed by anterior segment optical coherence tomography. Prominent chorioretinal folds suggestive of long-standing hypotony maculopathy were observed during fundoscopic examination. The cyclodialysis cleft, thought to be created inadvertently during the KDB goniotomy, resolved after three sessions of argon laser photocoagulation and the patient's symptoms and visual acuity partially improved. [ABSTRACT FROM AUTHOR]