Combination of Nd:Yag laser-induced subconjunctival bleeding and intracameral viscoelastic injection to treat hypotony maculopathy

Ophthalmic Surg Lasers. 2002 Nov-Dec;33(6):504-7.

Abstract

A 38-year-old man with primary open-angle glaucoma who had undergone trabeculectomy with mitomycin-C developed macular folds consistent with hypotony maculopathy. The patient was successfully treated with a combination of Neodymium:yttrium-aluminum-garnet (Nd:YAG) laser-induced subconjunctival bleeding and injection of a viscoelastic substance into the anterior chamber. The combination of Nd:YAG laser-induced subconjunctival bleeding with intracameral viscoelastic injection appears to be a reasonable alternative to autologous blood injection and may be tried as first-line treatment for hypotony maculopathy caused by overfiltration.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anterior Chamber / drug effects
  • Antibiotics, Antineoplastic
  • Combined Modality Therapy
  • Conjunctival Diseases / etiology*
  • Eye Hemorrhage / etiology*
  • Glaucoma, Open-Angle / surgery
  • Humans
  • Hyaluronic Acid / administration & dosage*
  • Injections
  • Laser Therapy / methods*
  • Male
  • Mitomycin
  • Ocular Hypotension / etiology
  • Ocular Hypotension / surgery*
  • Postoperative Complications / surgery*
  • Retinal Diseases / etiology
  • Retinal Diseases / surgery*
  • Trabeculectomy
  • Treatment Outcome

Substances

  • Antibiotics, Antineoplastic
  • Mitomycin
  • Hyaluronic Acid