Jaskra jako powikłanie w chirurgii witreoretinalnej
Glaucoma as a Vitreoretinal Surgery Complication
Klinika Okulistyczna Wojskowego Instytutu Medycznego Centralnego Szpitala Klinicznego Wojskowej Akademii Medycznej w Warszawie Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz
Summary: The causes of intraocular pressure increase after vitreoretinal surgeries were analyzed in this study. Groupings according to practical aspects of therapy were employed. Increase in intraocular pressure due to inflammation or uveal edema is transient in most cases. Parallel therapy with dorzolamide and 0.5% timolol seems to be sufficient. Increase in intraocular pressure, developing papillary block and malignant glaucoma is dangerous to optic nerve. Therefore it requires definitive therapy. In case of papillary block it is necessary to perform iridotomy with Nd: YAG laser. Malignant glaucoma frequently requires surgical intervention to restore proper anatomical structures in the anterior chamber and facilitate proper aqueous humor circulation. It is a big therapy problem in refractory glaucoma due to emulgated silicone oil and neovascular glaucoma. In those cases therapeutic surgery required seton implants. Successful surgery of the retinal detachment and in case of diabetic retinopathy as well as in central vain thrombosis correct photocoagulation prevents neovascular glaucoma development.
Keywords: secondary glaucoma, vitreoretinal surgery.