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Glaucoma e aniridia: experiência inicial. Quatro olhos tratados cirurgicamente com o implante de Schocket modificado.

Glaucoma e aniridia: experiência inicial. Quatro olhos tratados cirurgicamente com o implante de Schocket modificado.

Autores:

Ralph Cohen,
Geraldo Vicente de Almeida,
Carlos Akira Omi,
Carmo Mandia Jr.,
Sérgio Kwitko

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.53 no.3 São Paulo maio/jun. 1990

http://dx.doi.org/10.5935/0004-2749.19900034

SUMMARY

Four eyes of 2 individuals with glaucoma associated with aniridia underwent a surgical treatment with a modified Schocket implant.

One of the patients was 1 month old and the other was 6 years old.

The first patient' s intraocular pressure was 30 and 34 mmHg respectively in the right and left eye. After the surgery, intraocular pressure kept around 16 mmHg, in both eyes, without any drug, with follow­up of 13 and 12 months, respectively. In the second patient, pre-operative intraocular pressure was

42 mmHg in both eyes, with medication. Post-operative intraocular pressure remained after follow-up of 10 months (right eye) and 7 months (left eye) at 20 mmHg with medication.

The modified Schocket implant may be wothwhile for treatment of refractory glaucomas.

REFERÊNCIAS

1 CHANDLER, P.A. & GRANT, W.M.: Glaucoma after penetrating keratoplasty. In: CHANDLER, P.A. & GRANT, W.M:: Glaucoma. 3 ed., Philadelphia, Lea & Febiger, 1986, p. 408-10.
2 MINCKLER, D.S., HEUER, D.K., HASTY, B., BAERVELDT, G., CUITING, R.C., BARLOW, W.E.: Clinical experience with the single plate Molteno implant in complicated glaucomas. Ophthalmology 95: 1181, 1988.
3 SCHOCKET, S.S., NIRANKARI, V.S., LAKHAMPAL, V., RICHARDS, R.D., LERNER, B.C.: Anterior chamber tube shunt to an circIing band in the treatment of neovascular glaucoma and refractory glaucomas. A long-term study. Ophthalmology 92:553, 1985.
4 SHIELDS, M.B.: Textbook of Glaucoma. 2 ed., Baltimore, Williams & Wilkins, 1987, p. 199-219.
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