The Management of Secondary Glaucoma in Nanophthalmic Patients

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Purpose: To investigate the clinical characteristcs, management of secondary glaucomain nanophthalmos, and the prevention of its complications.Methods-. Retrospectively, 9 cases (17 eyes) with nanophthalmic glaucoma werestudied.Results: The axial length of the eyes ranged (14. 36 ~ 19. 33) mm; All of the casescombined with hyperopia ranged (+7.00- +16.00) D. All 17 eyes had themanifestation like angle-closure glaucoma. The glaucoma was controlled in 9 of 17 eyesat the early stage, which underwent laser iridotomy (4 of 9 eyes also underwent laseriridoplasty). 1 eye underwent ciliary photocoagulation because its visual acuity waslost and the patient complained of pain. The other 7 eyes underwent filtration surgeryand 3 of them had permanent loss of vision caused by disastrous complications after thesurgery.Conclusions: Management of secondary glaucoma in nanophthalmos is complicated. Thelaser iris surgery is safe and effective in glaucoma at the early stage. Vortex veindecompression, sclerotectomy or ante Objective: To investigate the clinical characteristcs, management of secondary glaucomain nanophthalmos, and the prevention of its complications. Methods-. Retrospectively, 9 cases (17 eyes) with nanophthalmic glaucoma were staged. Results: The axial length of the eyes ranged ~ 19. 33) mm; All of the cases combined with hyperopia ranged (+ 7.00- + 16.00) D. All 17 eyes had themanifestation like angle-closure glaucoma. The glaucoma was controlled in 9 of 17 eyesat the early stage, which underwent laser iyeotomy (4 of 9 eyes also underwent laseriridoplasty). 1 eye underwent ciliary photocoagulation as its visual acuity waslost and the patient complained of pain. The other 7 eyes underwent filtration surgery and 3 of them had permanent loss of vision caused by disastrous complications after the sighgery. Conclusions: Management of secondary glaucoma in nanophthalmos is complicated. Thelaser iris surgery is safe and effective in glaucoma at the early stage. Vortex vein compression, scl erotectomy or ante
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