ABSTRACT
PURPOSE: Iridocorneal endothelial (ICE) syndrome includes Chandler's syndrome, essential iris atrophy, and the Cogan Reese syndrome. The purpose of this article is to describe a rare case with two forms of the syndrome simultaneously. METHODS: A case of Cogan Reese syndrome in one eye and Chandler's syndrome in the fellow eye is reported. RESULTS: During 5 years of follow-up only slight progression, manifested in episodes of blurred vision, occurred because of corneal changes. Glaucoma did not develop. CONCLUSION: ICE syndrome is considered as unilateral, although cases of bilateral involvement of the same variant have been described. But a simultaneous presentation of two different forms might occur, as in this patient.
Subject(s)
Corneal Diseases/pathology , Endothelium, Corneal/pathology , Iris Diseases/complications , Iris/pathology , Adult , Atrophy/complications , Corneal Diseases/complications , Disease Progression , Female , Follow-Up Studies , Humans , Syndrome , Visual AcuityABSTRACT
PURPOSE/METHODS: Symptomatic convergence insufficiency developed in a 56-year-old man after he sustained head trauma and developed subdural hematoma. RESULTS/CONCLUSION: All symptoms resolved after surgical evacuation of the subdural hematoma. Convergence insufficiency developing after head trauma could be the result of a subdural hematoma.
Subject(s)
Convergence, Ocular , Hematoma, Subdural/complications , Ocular Motility Disorders/etiology , Brain Injuries/complications , Hematoma, Subdural/surgery , Humans , Male , Middle AgedSubject(s)
Infant, Premature/physiology , Intraocular Pressure/physiology , Female , Humans , Infant , Infant, Newborn , Male , Tonometry, Ocular/methodsABSTRACT
The injection of expandable gas into the vitreous is a new method for treating retinal detachment. The injected gas bubble seals the retinal break and allows absorption of subretinal fluid. In 12 patients, in all eyes treated by injection of sulfur hexafluoride, the detached retina became reattached. In 3 eyes (25%) detachment recurred. To achieve attachment again, both vitrectomy and the circling band operation were performed in 2 of them, and only the latter operation in the third. Risk factors for redetachment included detachment of the macula, retinal detachment larger than 5-o'clock-hours, and pseudophakia. Proper selection of patients for gas injection is most important.
Subject(s)
Retinal Detachment/therapy , Sulfur Hexafluoride/administration & dosage , Gases , Humans , Injections , Recurrence , Risk Factors , Scleral Buckling , Vitrectomy , Vitreous BodyABSTRACT
We treated two patients in whom silicone oil pupillary block developed despite a patent inferior iridectomy. The clinical characteristics of this complication were a deep anterior chamber, specular reflexes from the iris surface, identification by biomicroscopy of aqueous trapped inferiorly in the vitreous cavity, and no convection currents in the anterior chamber. This complication may be prevented by early face-down positioning of the patient after the operation, and the avoidance of large, centrally located, inferior iridectomies. We recommend that the iridectomy be placed peripherally no larger than 2 mm and propose a new technique for breaking the silicone oil block, which was clearly successful in one of the patients.
Subject(s)
Anterior Chamber , Iris/surgery , Postoperative Complications/prevention & control , Retinal Detachment/surgery , Silicone Oils/adverse effects , Aqueous Humor , Eye Diseases/etiology , Eye Diseases/prevention & control , Humans , Male , Middle Aged , Ocular Hypertension , PostureABSTRACT
A patient with refractory glaucoma 1 year after cataract extraction and trabeculectomy had Molteno implant surgery. Three days after surgery a kissing choroidal effusion and retinal detachment adherent to the posterior chamber IOL were detected. Repeated choroidal taps were unsuccessful. Removal of the Molteno implant, vitrectomy, and silicone oil injection were required to reattach the retina.
