Assuntos
Acetazolamida/uso terapêutico , Anti-Hipertensivos/uso terapêutico , Inibidores da Anidrase Carbônica/uso terapêutico , Doenças da Coroide/tratamento farmacológico , Prostaglandinas F Sintéticas/uso terapêutico , Descolamento Retiniano/tratamento farmacológico , Doenças da Úvea/tratamento farmacológico , Feminino , Humanos , MasculinoRESUMO
PURPOSE: To report a case series of three patients with bilateral uveal effusion syndrome (UES), treated conservatively with oral carbonic anhydrase inhibitors and topical prostaglandin analogues (PAs). METHODS: Three patients with bilateral UES were treated with the same initial therapy. Topical PA latanoprost 0.005% and acetazolamide 250 mg were administered in order to reduce intraocular pressure, improve uveoscleral outflow, and facilitate resolution of uveal effusion. RESULTS: The chorioretinal detachment resolved within 3 months in two reported patients while the third one underwent surgery on his left eye. After clinical improvement, further oral therapy with acetazolamide was stopped, while topical prostaglandins were continued for at least the next 3 months. All patients were free from recurrence during the follow-up period. CONCLUSION: Although the usually recommended UES therapy is partial or full-thickness sclerectomy, our case series showed apparent resolution of chorioretinal detachment in two patients on medical therapy alone. Conservative therapy may be the first step before the standard recommended surgical approach, but further studies are needed to verify the effectiveness of reported therapy.
Assuntos
Acetazolamida/uso terapêutico , Anti-Hipertensivos/uso terapêutico , Inibidores da Anidrase Carbônica/uso terapêutico , Doenças da Coroide/tratamento farmacológico , Prostaglandinas F Sintéticas/uso terapêutico , Descolamento Retiniano/tratamento farmacológico , Doenças da Úvea/tratamento farmacológico , Administração Oral , Administração Tópica , Adulto , Doenças da Coroide/patologia , Quimioterapia Combinada , Feminino , Humanos , Pressão Intraocular , Latanoprosta , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Descolamento Retiniano/patologia , Doenças da Úvea/patologiaRESUMO
The purpose of this study is to describe and evaluate the success rate of combined glaucoma and small cataract surgery by means of a one-site versus two-site approach. Fifty-eight eyes of fifty-five patients undergoing combined surgery were operated: thirty-one eyes underwent two-site approach and twenty-seven eyes underwent one-site approach. Short term and long term mean intraocular pressure (IOP) was similar in both groups. There was no significant difference in postoperative inflammation and complication rates between two groups. There is no significant difference in the postoperative results in those two different approaches to perform combined operations of cataract and glaucoma.