Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ophthalmol Glaucoma. 2020 Jul-Aug;3(4):301-305. doi: 10.1016/j.ogla.2020.03.007. Epub 2020 Mar 31.
To demonstrate the occurrence of acute hydrops in the fellow eye of infants with primary congenital glaucoma (PCG) treated for glaucoma in 1 eye.
Small, observational case series.
Three infants with PCG who demonstrated acute hydrops in the fellow eye after treatment of the worse eye.
Intraocular pressure (IOP) was lowered surgically in 2 infants and medically in 1 infant with PCG. Two infants underwent combined trabeculotomy with trabeculectomy, and goniotomy was possible in 1 infant.
Observation of the fellow eye after lowering IOP in an eye with acute hydrops.
Two infants underwent glaucoma surgery in 1 eye and demonstrated acute hydrops in the fellow eye within 1 week. The third infant demonstrated acute hydrops after medically controlling IOP in 1 eye before the scheduled surgery. After surgical treatment, the stromal edema cleared completely in all 3 infants, leaving behind a small area of opacity where the Descemet's tear had healed.
Our report demonstrates that the fellow eye of a patient with PCG may be at risk of sudden raised IOP resulting in acute hydrops, and early treatment may help to prevent this phenomenon in the fellow eye.
展示在治疗一眼原发性先天性青光眼（PCG）的过程中，对侧眼发生急性青光眼的情况。
小型观察性病例系列。
3 名 PCG 婴儿，在治疗更严重的眼睛后，对侧眼出现急性青光眼。
2 名婴儿通过手术降低眼内压（IOP），1 名婴儿通过药物治疗降低眼内压。2 名婴儿接受了小梁切开联合小梁切除术，1 名婴儿接受了房角切开术。
对急性青光眼眼降低眼压后对侧眼的观察。
2 名婴儿在一只眼接受青光眼手术后，在 1 周内对侧眼出现急性青光眼。第三只婴儿在计划手术前通过药物控制眼压后出现急性青光眼。手术后，3 名婴儿的基质水肿完全消退，只留下一小部分角膜混浊，是由于 Descemet 膜撕裂的愈合。
我们的报告表明，PCG 患者的对侧眼可能有突然升高眼压导致急性青光眼的风险，早期治疗可能有助于预防对侧眼发生这种现象。
