Premium
Help, I've been too successful: postoperative hypotony
Author(s) -
ZEYEN T
Publication year - 2009
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2009.3452.x
Subject(s) - trabeculectomy , medicine , bleb (medicine) , ophthalmology , maculopathy , glaucoma , surgery , retinopathy , diabetes mellitus , endocrinology
Purpose To give an overview of the etiology and treatment of hypotony post‐trabeculectomy. Methods Postoperative hypotony is most commonly caused by either overfiltration or bleb leakage. This condition can lead to a flat anterior chamber, hypotony maculopathy, choroidal detachment, and cataract. Results Possible strategies to decrease overfiltration and heal bleb leaks will be highlighted. We will review when and how to refill the anterior chamber, and discuss the proper timing and technique to treat choroidal detachments. Finally, the indications, pros and cons of cataract surgery after trabeculectomy will be discussed. Conclusion This presentation will give guidance on how to diagnose and treat hypotony after trabeculectomy.