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Glaucoma Surgery in Pregnancy: A Case Series and Literature Review | ||
| Iranian Journal of Medical Sciences | ||
| مقاله 10، دوره 41، شماره 5، آذر 2016، صفحه 437-445 اصل مقاله (236.6 K) | ||
| نوع مقاله: Case Series | ||
| نویسندگان | ||
| Mohammad Reza Razeghinejad* 1؛ Masoumeh Masoumpour1؛ Mohammad Hossein Eghbal2؛ Jonathan S. Myers3؛ Marlene R. Moster3 | ||
| 1Poostchi Eye Research Center, Poostchi Clinic, Shiraz University of Medical Sciences, Shiraz, Iran; | ||
| 2Department of Anesthesiology, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 3Glaucoma Service, Wills Eye Institute, Jefferson Medical College, Philadelphia, USA | ||
| چکیده | ||
| AbstractGlaucoma management in pregnant patients is a real challenge, especially when the glaucoma is not controlled with medications. We report the results of 6 incisional glaucoma surgeries for the management of medically uncontrolled glaucoma patients during pregnancy. This retrospective, case series was conducted on the 6 eyes of 3pregnant patients with uncontrolled glaucoma using maximum tolerable medications. Details of the glaucoma surgical management of these patients as well as their postoperative care and pregnancy and clinical outcomes on longitudinal follow-up are discussed. All 3 patients had juvenile open-angle glaucoma and were on various anti-glaucoma medications, including oral acetazolamide. The first case described underwent trabeculectomy without antimetabolites in both eyes because of uncontrolled intraocular pressure with topical medications. The surgery was done with topical lidocaine jelly and subconjunctival lidocaine during the second and third trimesters. The second patient had an Ahmed valve implantation in both eyes during the second and third trimesters because of uncontrolled IOP with topical medications and no response to selective laser trabeculoplasty. Surgery was done with topical tetracaine and subconjunctival and sub-Tenon’s lidocaine. The third case had a Baerveldt valve implantation under general anesthesia in the second trimester. In selected pregnant glaucoma patients with medically uncontrolled intraocular pressure threatening vision, incisional surgery may lead to good outcomes for the patient with no risk for the fetus. | ||
| کلیدواژهها | ||
| Glaucoma drainage implants؛ Pregnancy؛ Trabeculectomy | ||
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