Anterior lamellar sclerectomy for nanophthalmos

Martin B. Wax, Michael A. Kass, Allan E. Kolker, John R. Nordlund

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

A 38-year-old woman with nanophthalmos suffered bilateral acute angle closure glaucoma. Peripheral iridotomies were unsuccessful in maintaining low intraocular pressure in either eye. The left eye had probable ciliary block glaucoma and was treated with subsequent pars plana vitrectomy and trabeculectomy. Further postoperative complications included a serous choroidal detachment treated by a lamellar sclerectomy in three quadrants with sclerotomies and drainage of suprachoroidal fluid. These procedures were successful in achieving a well-formed left globe with normal intraocular pressures. The right eye, however, continued to manifest elevated intraocular pressure despite peripheral iridoplasties. Before further intraocular surgery in the right eye, prophylactic lamellar sclerectomies in each quadrant, as well as sclerotomies in the inferior two quadrants, were performed in the hope that preplacement might reduce postoperative sequelae of anticipated filtering surgery and/ or vitrectomy. Surprisingly, the lamellar sclerectomies alone resulted in excellent intraocular pressure control. The pathogenesis of nanophthalmos is discussed in view of this finding.

Original languageEnglish (US)
Pages (from-to)222-227
Number of pages6
JournalJournal of Glaucoma
Volume1
Issue number4
DOIs
StatePublished - Jan 1 1992

Keywords

  • Lamellar sclerectomy
  • Nanophthalmos
  • Sclerotomy

ASJC Scopus subject areas

  • Ophthalmology

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    Wax, M. B., Kass, M. A., Kolker, A. E., & Nordlund, J. R. (1992). Anterior lamellar sclerectomy for nanophthalmos. Journal of Glaucoma, 1(4), 222-227. https://doi.org/10.1097/00061198-199201040-00002