Features of the postoperative period of a patient with Sturge-Weber syndrome after glaucoma surgery (clinical case)
Anna Starostina,
Olya Klepinina,
Alla Sidorova,
Margarita Khabazova,
Aleksei Arisov,
Ksenia Stefankova Abstract
PURPOSE. To evaluate the effectiveness of surgical treatment of secondary glaucoma and to present the clinic features of the postoperative period of a patient with Sturge-Weber syndrome (SWS)
METHODS. A patient with SWS, choroidal hemangioma and secondary glaucoma was examined and treated (Ahmed valve implantation) in the S.N. Fedorov National Medical Research Center "MNTK "Eye Microsurgery", Moscow.
RESULTS. On the first day after surgery on the left eye discovered: hypotension, decrease of the anterior chamber, serous choroidal detachment. Posterior scleral trepanation and injection of viscoelastic into the anterior chamber was performed. On the next day we got normalization IOP and complete choroidal attachment as a result of operation. But we got macular detachment of neuroepithelium, for this reason injections of glucocorticosteroids were performed with a positive effect. 1 month after surgery the retina and choroid are attached, IOP is 16 mm Hg on the left eye without hypotensive drops, visus for both eyes is 1.0.
CONCLUSION. Implantation of the Ahmed valve can be used in the treatment of secondary glaucoma in patients with SWS in order to reduce IOP and minimize the risks of complications.
About the Authors
Anna StarostinaRussian Federation
Olya Klepinina
Russian Federation
Alla Sidorova
Russian Federation
Margarita Khabazova
Russian Federation
Aleksei Arisov
Russian Federation
Ksenia Stefankova
Russian Federation
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For citations:
Starostina A., Klepinina O., Sidorova A., Khabazova M., Arisov A., Stefankova K. Features of the postoperative period of a patient with Sturge-Weber syndrome after glaucoma surgery (clinical case). National Journal glaucoma. 2022;21(3).
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