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[A case of severe glaucoma with pseudopemphigoid successfully treated by filtration surgery using amniotic membrane]

Authors :
Keiko, Hino
Kazuhiko, Mori
Chie, Sotozono
Yoko, Ikeda
Shigeta, Naruse
Takeshi, Ishibashi
Yukako, Nanjo
Shigeru, Kinoshita
Source :
Nippon Ganka Gakkai zasshi. 110(4)
Publication Year :
2006

Abstract

It is necessary to decrease topical anti-glaucoma medication for severe glaucoma with pseudopemphigoid caused by anti-glaucoma eye drops. Glaucoma filtrating surgery is often needed instead of medication, but the prognosis is poor because it induces scar fomation and makes the filtrating bleb vanish.An 85-year-old male patient with exfoliation syndrome had twice undergone glaucoma surgery about ten years previously. His intra-ocular pressure (IOP) was high despite topical anti-glaucoma medication. At the first examination in our hospital, he had severe superficial punctate keratopathy, blephariticshortening and symblepharon, and we therefore diagnosed severe pseudopemphigoid induced by anti-glaucoma eye drops. Because his IOP could not be controlled by topical and general medication, we conducted a glaucoma filtrating operation using amniotic membrane.The administration of oral anti-inflammatory drugs before and after surgery and the use of amniotic membrane prevented post-operative scar formation and the progress of symblepharon, resulting in the successful control of IOP after surgery.

Details

ISSN :
00290203
Volume :
110
Issue :
4
Database :
OpenAIRE
Journal :
Nippon Ganka Gakkai zasshi
Accession number :
edsair.pmid..........8bfa37300a29d44935ef6b62d3bc1347